Ayurooms
  • About
    • About Ayurooms
    • Who is Ayurooms
    • Where is Ayurooms
    • Mission Statement
    • Our Yoga Retreats
    • Our Process
    • Our Pricing
    • Why Ayurooms
    • Our Values
  • Resorts
    • Locations
    • Luxury Resorts
    • Premium Resorts >
      • AyurSoma >
        • Palace Deluxe Room
    • Wellness Resorts for Couples
    • Value Resorts
    • All Resorts
  • Reviews
  • Packages
    • Pricing
  • Blog
    • Ayurveda Tips >
      • Sex and Ayurveda
      • Self Massage
      • Concept of Eating
      • Meal Timings
      • Overcoming Tiredness
      • Why the Ayurveda Lifestyle
      • Better Version of Ourselves
      • What Makes Ayurveda Different
      • Spinal Health
    • Ayurooms Blog >
      • What is Ayurveda
      • 7 reasons why Ayurveda is relevant today
      • Reclaiming Certainty
      • Aging Gracefully with Ayurveda
    • Yoga Blogs
  • Contact Us
  • Visa Application
  • Medical Intake Form

Medical Intake Form

Please complete the Medical Intake Form below. Your responses will remain strictly confidential and will only be shared with the concerned Ayurvedic doctor or other physician(s) who will be involved in designing your treatment program. 

Please be thorough and detailed in your responses. The information you provide is necessary not only to understand your medical history, but also, to diagnose your health issues and to design an appropriate Ayurvedic treatment program. Thank you.
Health and Wellness Resorts
Luxury Health Resorts
Premium Health Resorts
Value Health Resorts
All Health Resorts
​Locations
Policies
Cancellations & Refunds
Privacy Policy
More about Ayurooms
What is Ayurooms
Who is Ayurooms
​
Mission Statement
​Accommodations
Food at Ayurooms
Healthcare at Ayurooms
Our Values
Why Ayurooms
​Yoga at Ayurooms
Corporate Wellness
Support
Contact
FAQs
Help Articles
​List Your Resort
Indian Visa Application

© COPYRIGHT 2021 AYUROOMS AND WELLNEESS PVT LTD
  • About
    • About Ayurooms
    • Who is Ayurooms
    • Where is Ayurooms
    • Mission Statement
    • Our Yoga Retreats
    • Our Process
    • Our Pricing
    • Why Ayurooms
    • Our Values
  • Resorts
    • Locations
    • Luxury Resorts
    • Premium Resorts >
      • AyurSoma >
        • Palace Deluxe Room
    • Wellness Resorts for Couples
    • Value Resorts
    • All Resorts
  • Reviews
  • Packages
    • Pricing
  • Blog
    • Ayurveda Tips >
      • Sex and Ayurveda
      • Self Massage
      • Concept of Eating
      • Meal Timings
      • Overcoming Tiredness
      • Why the Ayurveda Lifestyle
      • Better Version of Ourselves
      • What Makes Ayurveda Different
      • Spinal Health
    • Ayurooms Blog >
      • What is Ayurveda
      • 7 reasons why Ayurveda is relevant today
      • Reclaiming Certainty
      • Aging Gracefully with Ayurveda
    • Yoga Blogs
  • Contact Us
  • Visa Application
  • Medical Intake Form