Patient’s Data


This form and any attached documents are strictly confidential and are intended solely for the use of the consultation processes. If you have any more concern kindly contact us 07044492005 or


Kindly come with your Comprehensive Medical report (e.g. x-rays, scans etc…) on the day of your appointment, so as to give your the best possible service.

Do You Or Any Immediate Family Members Have Any Of The Following Conditions? *

Contact Us

  • 0704 449 2005

  • No. 14, Lobito Crescent, Wuse 2, Abuja

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