Counselling Form

A patient’s family has to confront with not disease but also with lot of other concerns. These concerns in most cases are not related with cancer but need to taken care off. VGiveHope endeavors to provide guidance to families to handle these issues through counseling. We will help you understand all the aspects a family needs to cater to when you have a patient in house. From the minutest details about the hygiene practices to details like banking precautions and others.
We hope to interact with you about following
1. Introduction
2. Briefing about the cancer
3. Patient Care
4. Food and Supplements
5. Family details
6. Insurance details
7. Money Matters

Name*
Age(Yrs)*
Gender*
Address*
Date of Birth*
Type of Cancer Diagnosed or Suspected*
Members in Family*
No. of Dependants*
Time*
Preferred Type of Counselling*
Any Particular Area You Want to Focus*
Mobile Number*
Email Id*
Skype Id(For Video Call)*
Counsel Fees*
I agree to the Terms & Conditions.

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