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ONLINE APPOINTMENT

 

 

 

The fastest way to book an appointment online is to complete our                         form online.

 

Please note: This form is an appointment request only, not a guaranteed appointment time. You will be contacted by a member of our staff within 1-2 business days of the request to arrange your appointment time. If you are not contacted, assume that online slots are not available.This form is for non-urgent appointment requests only. For urgent appointments, do not complete this form, instead visit one of the hospitals where I practice at your convenience.

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( * ) Your name and  phone number are required fields so that we can contact you to confirm your appointment

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New patient Form

New patient form

Medical History  **Confidential**
Do you have medical problems? please mention, else skip it

Thanks for registering.

**PRIVACY: Our staff will not disclose this information to any third party not involved in your healthcare without your consent to it. Onward referral to another specialist may require the duplication of this form. Your information may be used for billing purposes. If you do not give permission for the above please let our staff know.

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Phone: 9515111795
Email: drachyuthsclinic@gmail.com

SPECTRUM OF SERVICES

Oral Cancer
Oropharyngeal cancers
Salivary Gland Tumors
Thyroid Lesions
Laryngeal and Hypopharyngeal Tumors
Head and Neck Skin Cancers 
Nose and Paranasal sinus Tumors
Anterior and Lateral Skull Base tumors
Neck Mass
Reconstruction for Head and Neck Ablative Surgeries

LASER Assisted Surgeries.

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