History Forms

1. For finding a correct homoeopathic remedy a lot of information with regard to the

  • (I) Complaints (a) Main as well as (b) Subsidiary and
  • (ii) The person of the patient is required.

2. Incomplete information will make the correct choice of Medicine difficult. You are therefore requested to supply all information without keeping back anything as irrelevant or of little importance. The information you supply in the note forms the basis of further inquiry designed to assist you in the further delineation of the problem. Full co-operation, therefore, is requested. All information supplied is, of course, strictly confidential.

3. History forms have been provided in the following four languages in PDF format.

  • (I) English
  • (a) Gujarati
  • (b) Hindi
  • (ii) Marathi

4. History forms in English have also been provided in word format.

5. Please choose wisely

  • (I) For Adult – They should select Adult history form
  • (II) Children with developments or scholastic or mental health problems should select Holistic care history form
  • (III) Children with general medical problems like Asthma, Allergy, etc. should select General Child history form

You can download from here:

PDF Format:

Word Format: