Patient Forms & Proformas

Patient Evaluation Proformas

Download or open your evaluation form below. Complete before your consultation at Faraz Hospital to save time. All forms open in a new tab.


🧠 Neurosurgical Evaluation Forms

🦴 Spine Evaluation

Cervical, thoracic & lumbar spine — pain, weakness, bladder/bowel symptoms.

🧠 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: +92-345-825-4232

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NeuroGuide AI

Dr. Wasif Malik's Patient Assistant

For emergencies call 1122 · Not a substitute for clinical advice