Our experts are here to provide you with comprehensive evaluations and personalised guidance to ensure you receive the best possible care.
Name
Last Name
Email
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What specific mental health concerns or questions do you have?
Are you currently receiving any treatment or support for your mental health?
Is there anything else you would like to share about your mental health situation?
Consent and Agreement: I understand that by submitting this form, I am requesting a second opinion from the mental health professionals at Manasa Hospital. I consent to the use of the information provided for the purpose of obtaining a second opinion and understand that all information will be treated confidentially in accordance with applicable privacy laws and regulations.
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