Note: We wish you understand that your use of this Patient Appointment page does not mean for seeing a doctor or medical professional regarding your medical condition. We will notify you when an appointment is scheduled on phone. Of course, a patient relationship cannot be established until you are seen in person at Medlife by Medlife's medical staff. By clicking "Submit", you agree to the terms of this Disclaimer. If you do not agree to the terms of this Disclaimer, you may call Medlife at +91-79-26925771 / 65227232 or +91-9510177232 to begin the registration process. Thank you for pre-registering with our on-line form.
You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.