Doctor Consent Form

Dear Doctor,

Thank you for showing interest in partnering with Dabur India Ltd. for better patient care through the 'Ask Dabur' Campaign and laying the foundation of one of the most important pillars of this initiative.

We, at Ask Dabur are committed to take Ayurveda to the next level by launching the 'Ask Dabur' initiative. It aims to promote Ayurveda by being a trusted solutions provider to people’s quest to lead a more balanced, healthy life with its ayurvedic know-how and expertise obtained over 132years.

We, thank you and our dedicated team of doctors, who are behind this platform to provide expert consultation thereby providing better and authentic ayurvedic treatment to patients through online and personal consultation.

We request you to kindly fill this form and thereby provide your consent for us to refer patient queries to you for expert consultation.

Dr.

Fields with * are mandatory.

By giving the above details I hereby agree in partnering with Dabur India Ltd. for better patient care through Ask Dabur campaign. I hereby give my consent to share my contact details via email, SMS or on call with patients in need of Ayurvedic consultation. I shall also honour the appointment time given to any patient coming to me with a reference from Dabur, provided he quotes his patient ID. I shall provide priority appointment and consultation to any patient coming to me with reference from Dabur.