Preliminary Assessment Form

This form is to gather general health information of the individual consulting our doctor. Our Ayurveda Consultant will suggest the right package for you based on the information provided.

Recommended ayurvedic treatments may include medicine intake and panchakarma procedures. No medicines or procedures will be prescribed by the consultant over email or chat or phone. Procedures may be suggested to you for informative purposes only. You may avail Ayurvedic treatment at the hospital/ treatment center in consultation with the resident doctor. WellnessLoka is a service provider and not a treatment facility.

WellnessLoka abides by firm confidentiality ethics. All personal details regarding your health condition remain safe with our Ayurveda doctor. We expect your support and thorough honesty in revealing your present health status to us, for us to suggest the wellness package for you.