🌿 Ayurvedic Diagnosis Form

Fill in your details below. Your personalised Ayurvedic Diagnosis Report will be generated instantly and can be downloaded as a PDF.

🔒 Private & Confidential · For Dr. Ravi Apte
Step 1 of 5 — Personal Information 20%
1 Personal Information
Basic details to personalise your report
2 Body Constitution (Prakriti)
Select the option that best describes you naturally (not during illness)
3 Your Health Condition
Tell us what you are experiencing
4 Lifestyle & Habits
Ayurveda considers daily habits as critical to diagnosis
5 Medical History
Help us understand your full health picture
Section 1 · Prakriti Analysis
Section 2 · Condition Analysis
Section 3 · Diet & Lifestyle Recommendations
Personalised Protocol Based on Your Prakriti
Section 4 · Suggested Ayurvedic Formulations
Classical Herbs Indicated for Your Condition

⚠️ These are general recommendations. Exact dosage and selection must be confirmed by Dr. Ravi Apte in your consultation.

Herb / FormulationActionIndication
Section 5 · Recommended Treatment Plan
Medical Disclaimer: This report is generated based on your self-reported information using classical Ayurvedic principles. It is an educational guide and not a substitute for professional medical diagnosis or treatment. Please consult Dr. Ravi Apte (BAMS, MD Ayurveda) for a complete clinical evaluation and personalised prescription. For emergencies, contact your nearest hospital immediately.

Prepared by: HEAL Ayurveda Wellness · Kharghar, Navi Mumbai · +91-86556 38135 · ravi@healcelldisorders.com
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