Patient Evaluation Proformas
مریض فارمز
Download or open your evaluation form below. Complete before your consultation at Faraz Hospital to save time. All forms open in a new tab.
ملاقات سے پہلے فارم پر کر کے وقت بچائیں اور اہم تفصیلات مرتب رکھیں۔ مکمل معلومات بہتر مشاورت میں مدد دیتی ہے۔
Neurosurgical Evaluation Forms
نیورو سرجری تاریخِ مرض فارم
Spine Evaluation
Cervical, thoracic & lumbar spine — pain, weakness, bladder/bowel symptoms.
Open Spine Proforma Brain / Cranial
Headache, seizures, tumours, hydrocephalus, trauma, cranial nerve issues.
Peripheral Nerve
Carpal tunnel, cubital tunnel, Bell’s palsy, brachial plexus, nerve injuries.
🧩 Psychiatric / Cognitive
Depression, anxiety, cognitive decline, sleep disorders, psychiatric co-morbidity.
📍 Clinic Information
Dr. Wasif Rizwan Malik | MBBS, FCPS (Neurosurgery) | PMDC 47983-P
Faraz Hospital, Dubai Mahal Chowk, Model Town A, Bahawalpur
Reception: 062-2885604 | WhatsApp: +92-300-0874232
