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ISIC SPINE FELLOWSHIP 2024-2025
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ISIC Spine Course 2024- 22nd to 24th November 2024
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Patient Name
Age
Sex
--Select--
Male
Female
UHID (If You are an old patient)
Mobile No
Email ID
Postal Address
State / Region
--Select--
Andaman and Nicobar
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Consulting Doctors
Select Speciality Wise
------- Spine Specialist -------
Dr Ankur Nanda
Dr B. Mohapatra
Dr Gururaj M.
Dr Kalidutta Das
Dr Jitesh Manghwani
Dr M L Bansal
Dr Neeraj Gupta
Dr Rajat Mahajan
Dr Tarush Rustagi
Dr Vikas Tandon
------- Ortho Specialist -------
Dr Abhishek Jain
Dr Hitesh Bhandari
Dr Prabjit Singh Gill
Dr Pradeep Sharma
Dr Pushkar Chawla
Dr Sumit Singh Khurana
Dr Ritabh Kumar
Dr Vivek Mahajan
Dr Abhishek
------- Neurology -------
Dr A K Sahani
Dr Aparna Gupta
------- Neuro-Surgeon -------
Dr Krishna Kumar Choudhary
Dr Arun Sharma
Dr Mayank Narani
------- Internal Medicine -------
Dr (Col.) Vijay Dutta
Dr Raj Kumar
------- Cardiology -------
Dr Aseem Dhall
------- Urology -------
Dr Dinesh Suman
Dr Satish Gunawant
Dr Prashant Jain
------- Pain Medicine -------
Dr Pushpinder Singh
Dr Vivek
------- Oncology -------
Dr Bhawna Awasthy
------- Plastic Surgery -------
Dr Charanjeev Sobti
------- Opthalmology -------
Dr Aloke Gupta
------- Dermatology -------
Dr R K Basumatary
------- General Surgery -------
Dr Shankar Kumar Gupta
------- Gynaecology -------
Dr Rachna Verma
------- Gastro-entrology -------
Dr Deep Kamal Soni
------- Nephrology -------
Dr Geet Bajpai
------- Psychiatry -------
Dr Sakshi Sharma
------- Psychology -------
Dr Divya Parashar (45 Minutes Counselling Session)
Dr Divya Parashar (70 Minutes Counselling Session)
Ms. Prerna Pant
------- Rehabilitation -------
Rehab / Physio Consultation
------- Rheumatology -------
Joint Disease Clinic (Old Patients Only / No New Appointment Available)
Dr Sanjeev Kapoor)
Dr Shri Ram Garg
Dr Vishal Kaura Aggarwal
Confirm Consulting Doctor
**
Select as Above
------- Spine Specialist -------
Dr Ankur Nanda
Dr B. Mohapatra
Dr Gururaj M.
Dr Kalidutta Das
Dr Jitesh Manghwani
Dr M L Bansal
Dr Neeraj Gupta
Dr Rajat Mahajan
Dr Tarush Rustagi
Dr Vikas Tandon
------- Ortho Specialist -------
Dr Abhishek Jain
Dr Hitesh Bhandari
Dr Prabjit Singh Gill
Dr Pradeep Sharma
Dr Pushkar Chawla
Dr Sumit Singh Khurana
Dr Ritabh Kumar
Dr Vivek Mahajan
Dr Abhishek
------- Neurology -------
Dr A K Sahani
Dr Aparna Gupta
------- Neuro-Surgeon -------
Dr Krishna Kumar Choudhary
Dr Arun Sharma
Dr Mayank Narani
------- Internal Medicine -------
Dr (Col.) Vijay Dutta
Dr Raj Kumar
------- Cardiology -------
Dr Aseem Dhall
------- Urology -------
Dr Dinesh Suman
Dr Satish Gunawant
Dr Prashant Jain
------- Pain Medicine -------
Dr Pushpinder Singh
Dr Vivek
------- Oncology -------
Dr Bhawna Awasthy
------- Plastic Surgery -------
Dr Charanjeev Sobti
------- Opthalmology -------
Dr Aloke Gupta
------- Dermatology -------
Dr R K Basumatary
------- General Surgery -------
Dr Shankar Kumar Gupta
------- Gynaecology -------
Dr Rachna Verma
------- Gastro-entrology -------
Dr Deep Kamal Soni
------- Nephrology -------
Dr Geet Bajpai
------- Psychiatry -------
Dr Sakshi Sharma
------- Psychology -------
Dr Divya Parashar (45 Minutes Counselling Session)
Dr Divya Parashar (70 Minutes Counselling Session)
Ms. Prerna Pant
------- Rehabilitation -------
Rehab / Physio Consultations
------- Rheumatology -------
Joint Disease Clinic (Old Patients Only / No New Appointment Available)
Dr Sanjeev Kapoor
Dr Shri Ram Garg
Dr Vishal Kaura Aggarwal
** Note:
Kindly note that the same doctor is selected in both the columns while submitting the form. Choosing different doctors may lead to
cancellation
of the consultation
Consent:
I do hereby certify that I am well versed with my rights and responsibilities. I approached Indian Spinal Injuries Centre for an online medical support by way of telephonic or video-based consultation related to my medical condition. This means that I will be evaluated, treated or managed by the concerned ISIC health care provider or expert from the distant location. I agree to pay the above mentioned charges for the services and shall cooperate with the ISIC team and its consultants. I understand the concept of online medical support and its limitation. I hereby give my consent for my/my patient teleconsultation.
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ISIC SPINE FELLOWSHIP 2024-2025
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ISIC Trauma Fellowship 2024-2025
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ISIC Spine Course 2024- 22nd to 24th November 2024
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