» Sports injury counseling

First name (Required) Last name (Required)

Date of birth(Required)

Gender(Required)

Marital Status(Required)

Education(Required)

Job(Required)

Height (cm)(Required)

Weight (kg)(Required)

Blood Group

Phone Number(Required)

Email (Results are sent via email)(Required)

Payment (30$ )

Please email transfer to: Dr.Bahrami@gmail.com or Paypal to: Dr.Bahraminejad@yahoo.com

The full name of the payer:(Required)

Date of payment(Required)

Payment receipt(Required)

Max. file size: 256 MB.

Mention the full reason for requesting advice.(Required)

Describe the chief complaint right now(Required)

When did the discomfort and illness start?(Required)

Is your discomfort persistent?(Required)

What times of the day is severe?(Required)

Do you have limitation in your joints movement?(Required)

Please mention joint name and amount of limitation.(Required)

At what times and with what factor does the pain intensify and subside?(Required)

Do you experience chest pain, palpitations or shortness of breath?

Please explain the process of its initiation and escalation(Required)

Do you suffer from dizzy and headache?(Required)

Please explain the process of its initiation and escalation(Required)

Do you have gastrointestinal disorders?(Required)

Please explain the process of its initiation and escalation(Required)

Have you ever had a certain disease?(Required)

Mention the type of illness and its duration(Required)

Have you been hospitalized before?(Required)

Mention the reason for hospitalization and its duration(Required)

Have you ever had a muscle, bone or joint injury?(Required)

Mention the injury's location, its time and process(Required)

Do you take any special medicine?(Required)

Explain its type and amount(Required)

Do you take any special nutritional supplements?(Required)

Explain its type and amount(Required)

Do you use cigarettes, alcohol or drugs?(Required)

Explain its type and amount(Required)

Are you allergic to a certain substance?(Required)

Explain the signs and symptoms(Required)

Is there any special disease in your first degree relatives?(Required)

Explain its type completely(Required)

Have your first degree relatives died due to a certain disease?(Required)

Explain the cause of the disease completely(Required)

Is there a history of hypertension, diabetes & hyperlipidemia in your first degree relatives?(Required)

Explain its type and severity.(Required)

Blood pressure (Minimum)

Blood pressure (Maximum)

Pulses rate (per min)

Respiratory rate (per min)

Body temperature

If you need to explain more about your problem, explain it below

In what language would you like to receive your training plan?(Required)

Send X-ray and Lab test

Max. file size: 256 MB.

While accepting the accuracy of the above information, I request advice (required)