What is your reason for visting us at lila? (required)
If you are booking a pregnancy with us, when was the first day of your last normal menstrual period? (required)
Alternatively, do you know how far pregnant you are?
Have you had any complications in previous pregnancies that we should know about?
If you are visiting us for a gynae reason, are you able to tell us briefly the reason for your visit?
Do you suffer from any medical conditions? Please tell us a bit about them. ?
Please list any medications you are currently taking (or have recently stopped)?
Do you have any allergies we should know about?
What is your height(cms) and weight(kgs)? (Sorry to ask!)
Is there any further information which can help us in making your visit as positive as possible?