HUSSAIN KAISRANI

(For Appointment WhatsApp text or voice message: +92 300 2000210)

Instructions for Written Submission

Introduction

1. To find the right homeopathic remedy for your child, we need detailed information about:

   • Main and other complaints

   • The child’s personality and overall health

2. Please provide complete information. Nothing should be left out, even if it seems unimportant. This helps us make the best decision. All information is confidential.

3. This process takes time. A specially assigned physician will review your information before treatment starts. Sometimes more time or another appointment may be needed.

4. Your full cooperation is appreciated to help us serve you best.

Child’s Basic Information

• Full name

• Address and phone number

• Date of birth

• Gender

• Religion / Community / Sect

• School and class

• Diet (vegetarian, non-vegetarian, eggs)

• Habits (tea, coffee, milk, chocolates, etc.)

Family Details

• List all family members, their ages, occupations, where they live, and how they relate to the child

• Note any deceased relatives with age, year, and cause of death

• Mention if parents are related by blood (consanguineous marriage)

Daily Routine

• Describe the child’s typical day from waking up to bedtime

• Include details of meals and quantities

• Time spent on studies and play

Main Complaint

• Describe the primary problem bothering the child

• How long has it lasted?

• What helps or worsens it?

Other Complaints

• List other current or past problems

Personal Details

• Physical description (appearance, build, etc.)

• Emotional nature (anger, fears, shyness, attachments, recent changes)

• Intellectual abilities (school performance, hobbies, activities)

• Relationships with family, friends, teachers, and any difficulties

• Any family financial or personal stresses

Reactions to Environment

• Food likes, dislikes, cravings (chalk, earth, etc.)

• Reaction to weather, temperature, bath, clothing

• Sleep habits and dreams

Growth and Development

• Type of delivery and birth weight

• Health after birth

• Mother’s health and emotions during pregnancy and after birth

• Breastfeeding details

• Medicines taken during pregnancy

• Vaccination history

• Milestones: teething, sitting, walking, talking, toilet training

Past Illnesses

• Summary of illnesses and how they relate to current issues

Family Medical History

• Health of parents, siblings, grandparents, and other relatives

• Any chronic illnesses or conditions

Additional Comments

• Anything else you think is important

Documents to Attach

• Referral letter (if any)

• Previous medical records

• Lab reports

• X-rays, scans, etc.

Thank you for providing this information. It will help us give the best care possible for your child.