Patient Intake Form
We provide many different appointment booking methods for you to choose from, book an appointment online to come in for an in-person examination.
Telephone Support
Call us Mon. – Fri., 8 am – 5 pm and our representatives will help you make an appointment that’s convenient for you.
Virtual Visits
You can have your appointment without leaving your home. It’s the easiest way to get the care you need to stay healthy.
View Medicross Locations
With more than 24 Locations across the country, we are confident in providing the best care to our customers.
Patient Intake Form
(a) In case you are not able to fill the form, Betser support team will help you fill the form with the patient’s consent along with a callback from the team. Betser Support Team Number: +91 9495 866 100.
(b) In case you are not the patient and you are consulting with BETSER LIFE for your family or friends, kindly make sure you have the patient’s consent and you are sharing the correct details on patient’s behalf and please let us know your relationship with the patient. The information you provide will assist the doctor for a better health outcome.
(c) In case you are consulting for a minor or someone less than 18 years old, please share parents contact details and their consent.