For patients
Medical history
The questionnaire that prepares your homeopathic consultation.
The medical history form is currently available in Romanian only. To prepare your consultation in English, please call the practice at +40 21 242 1420 or +40 722 958 805 — we will gladly help you. Open the Romanian version →
Prefer to fill it in on paper?
Download the form, fill it in at home with a pen and bring it to the practice. Please note: the form is available in Romanian only.