Appoinment Form

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Please complete the questionnaire below and submit it . This will enable you to book a consultation appointment with Prof. Tufail Patankar in UK or India. Prof. Patankar's office will confirm the appointment by e-mail within 24- 48hrs. If urgent please fax the form directly to Prof. Patankar's secretary [Janice Hutchinson].

Appoinment Request Form:
(Fields Marked * are mandatory.)

Leeds
Nuffield
Nanavati Hospital, Mumbai, India.