Full Name *
Email *
Mobile Number *
Hospital *Select Hospital
Department *Select Department
Doctor *Select Doctor
Preferred Date and Time *
Any notes for the doctor's office
I understand that this is only an appointment request and will be scheduled only after a confirmation call from Avitis helpdesk.
Avitis Institute of Medical Sciences, Opposite Japamala Rani Church, Thrissur-Pollachi Main Road, Nemmara - 678508, Palakkad, Kerala
Help Desk : 0492 322 5500Accident & Emergency : 7356 666 334Call Us: 0492 322 5500, 0492 335 0035
contactus@avitishospital.com
