New Question Form

Images must be smaller than px 1000 * 1000

You should use the English alphabet, otherwise no answer will be send.

Name *

Email *

Mobile

Sex *

Age *

Your Marital Status *

Do you have Children?

Illness Severity *

Illness Period

Current Treatments

Question *

yes

Uploading Picture...

yes

Uploading Picture...

Your question is successfully registered. The answer will be sent to you via email.

Tehran - shahrake gharb - Boulevard FARAHZADI - above Dademan intersection (Atyeh hospital) - nakhoda hemmati Street - 2nd Floor, No. 44

(021) 88361258 - (021) 88361609