SCHEDULE A CONSULTATION

Request an appointment.

Complete the form below to prepare your visit details. Because Active Life Physiotherapy Clinic schedules visits directly over the phone to match clinician availability, please call our clinic desk at 094550 94720 to finalize your slot.

How Appointment Scheduling Works

Online requests are prepared directly on your device. To ensure optimal patient care and avoid double-booking, the clinic confirms all dates and times verbally.

Schedule a Visit

Appointment Request Form

Complete the fields below to prepare your consultation details. Please call us to confirm your exact slot.

Patient Full Name *

Mobile Number (10 digits) *

We will use this number to verify your preferred appointment time.

Preferred Date *

Preferred Time Window

Area of Concern / Practice Area

Care programs are tailored after initial clinical assessment.

Reason for Visit / Symptoms (Optional)

Preferred Contact Method

Phone CallSMS / Message

I understand that submitting this form prepares my appointment request. Because visits are confirmed directly by phone, I will call 094550 94720 to finalize my appointment slot.

Prefer to Book by Phone?

You can speak directly with our clinic desk right now to discuss your symptoms, inquire about fees, and book your visit without filling out the form.

Call 094550 94720

What to Prepare for Your Visit

Medical Records: Any previous doctor prescriptions, surgical discharge summaries, or doctor referrals.
Imaging Reports: Relevant X-rays, MRI scans, or ultrasound reports related to the painful area.
Comfortable Clothing: Loose gym or stretch attire that allows easy examination of joints and movement testing.

Clinic Location

Murgi Farm Road, Jankipuram, Lucknow, Uttar Pradesh

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Timings

Tuesday — opens 9:00 AM

A complete weekly schedule has not been confirmed yet. Please call to check availability before visiting.