Patients' Information - Consultation Office

If you have inquiries regarding a medical spine problem, post below the required details and our board will review your case and contact you and take the task to help you get the best answer to your problem.

Personal Details
  First Name: *
Last Name: *
  Gender: *
Age: *

Your Address
  Area: *
City: *
  Country: *

Your Contact Information

(Inorder to respond to your query, you must include a phone number or email address to contact you with)

Patient's Case*

Please include your case and medical problem in less than 100 words.


Upload any CT-Scan, MRI and other medical images that will help with the diagnosis process.

(Please limit the size of upload to 500k. If bigger file sizes are required to be sent, please attach them to

Fields marked * are mandatory

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