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Skype Consultation

Skype Consultation | ScolioLife™
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PERSONAL HEALTH HISTORY

Health History
Patient Conditions
Lifestyle Habits
Upload Xrays
Appointment
Payment

The following form is to be completed prior to your online consultation and emailed to the above contact details. Upon receiving the questionnaire, we will contact you via email or whatsapp to schedule your first consultation. Please complete the health history questionnaire. Patients have the option of uploading medical reports, CT scans, MRI and X-ray images if you have any you want Dr. Kevin Lau to review during your online consultation. All information will be kept strictly confidential.

O = Occasional
F = Frequent
C = Constant
  • O
  • F
  • C
Muscle/Joint
General
Genitourinary
  • O
  • F
  • C
Eye, Ear, Nose and Throat
Gastrointestinal
  • O
  • F
  • C
Skin
Pain or numbness in
Respiratory
Women only




Have you ever:






Do you:



spinal x-ray?
spinal examination?
physical examination?
HABITS
Alcohol
Coffee
Tobacco
Indicate the drugs do you now take?
Exercise
Sleep
Appetite
Soft Drinks
Salty Foods
Water
Sugar
Artificial Sweeteners
None
Light
Mod
Heavy

FAMILY HEALTH HISTORY

Information about your immediate family members, brothers, sisters, parents, and grandparents will give us a better understanding of your total health picture.

RELATIONSHIP
PRESENT AND PAST HEALTH PROBLEMS

PATIENT HEALTH HISTORY

Patients have the option of uploading medical reports, CT scans, MRI and X-ray images if you have any you want Dr. Kevin Lau to review during your online consultation.

Upload your X-Ray

Our appointment staff will contact you within 3 to 4 working days to confirm your appointment slot. Please Select your slot based on Singapore time (SGT)

Morning
Afternoon

Skype/Zoom Consultation

$220 SGD

Consultation Type :-

First Private Video Consultation (Skype or phone)

SKU : skype-phone-consultation