Orthopaedic Consultation Form – Dr. Amit Kumar Srivastava

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Dr. Amit Kumar Srivastava

Dr. Amit K. Srivastava

Senior Orthopaedic Surgeon

Max Hospital, Patparganj

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ORTHOPAEDIC CONSULTATION • DELHI NCR

Consult Dr. Amit Kumar Srivastava

Orthopaedic Surgeon & Joint Replacement Specialist

This form helps us understand your joint problem before consultation. Dr. Amit Kumar Srivastava reviews each case to advise the most appropriate treatment, surgical or non-surgical.

01 Patient Details

Name *

Mobile Number *

Email

Your City / Area

02 Your Joint Problem

Which joint problem are you consulting for? *

Knee pain / Knee arthritis Hip pain / Hip arthritis Shoulder pain More than one joint Not sure, need guidance

How long have you been experiencing this problem?

Less than 3 months 3–6 months 6–12 months More than 1 year

What symptoms are troubling you the most?

Pain while walking Difficulty climbing stairs Stiffness in the joint Reduced movement Pain at rest or night pain Swelling or deformity

03 Previous Treatment

Have you taken treatment for this problem earlier?

Yes, medicines only Yes, physiotherapy Yes, injections Yes, surgery No prior treatment

Has any doctor advised joint replacement surgery? *

Yes No Not discussed yet

04 Consultation Details

What are you mainly looking for?

Second opinion before surgery Relief from joint pain To know if surgery is necessary Planning joint replacement General orthopaedic consultation

Have you done X-ray or MRI?

Yes No

Additional Information

Your information is kept confidential.

ORTHOPAEDIC CONSULTATION • DELHI NCR

Get Expert Guidance for Your Knee, Hip & Shoulder

Consult Dr. Amit Kumar Srivastava for evaluation, treatment planning and guidance for joint pain, arthritis, joint replacement and sports injuries.

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Dr. Amit Kumar Srivastava

Senior Orthopaedic Surgeon
Joint Replacement & Arthroscopy

Dr. Amit Kumar Srivastava provides orthopaedic consultation and treatment for knee, hip and shoulder conditions, including joint replacement, arthroscopy, sports injuries and arthritis care in Delhi NCR.

Orthopaedic Services

Orthopaedic Treatment
Knee Replacement Surgery
Robotic Knee Replacement
Hip Replacement Surgery
Shoulder Replacement
Arthroscopy & Sports Injury
Joint Pain & Arthritis

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Clinic Locations

Bonhomie Clinic

C-493, Block C,
Yojna Vihar, Delhi
110092

Dilshad Garden

Ground Floor, O Pocket,
2/A-5, near Dilshad Colony,
Delhi 110095

Senior Orthopaedic Surgeon

Joint Replacement & Arthroscopy

Delhi NCR Consultation

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