AAHN – Pandemic medical request form – Pregnant women.

Patient Medical Request – For Pregnant Women wellbeing in Pandemic situation of 2021 

AAHN- PMR – W is, Emergency Patient Care ; is Patient Medical Request for women as well pregnant ladies , which is an initiation from the team of AAH Natürlich.UG , where in emergency pandemic consultation services are started , please fill in the below form and we will help you as soon as possible and on the right place at the right time .The data shared here is highly projected and will not be used for any marketing purpose , data is collected only to help people to reach out to the need with on time and as well volunteer team from AAHN.UG will guide for the emergency support.

Drop your files here or click here to upload You can upload up to 10 files.
1. Photo of face ( full face) 2. Photo of complete body ( front) – with a distance of 2 meters / 5 steps 3. Photo of complete body ( behind) – with a distance of 2 meters / 5 steps 4.complete body ( Side – right) – with a distance of 2 meters / 5 steps 5.complete body ( Side left) – with a distance of 2 meters / 5 steps 6. Image of the Left eye – close up 7.I mage of the right eye – close up 8. Image of lips 9. Image of tongue 10.Image of nail of left thumb
Drop your files here or click here to upload You can upload up to 10 files.
Drop your files here or click here to upload You can upload up to 10 files.
When would you like to have an appointment for consultation
Drop your files here or click here to upload You can upload up to 10 files.
Drop your files here or click here to upload You can upload up to 10 files.