Sports injury counseling The necessary advice for the treatment of injuries or diseases will be sent to your email. Step 1 of 6 16% (Required) First name (Required) Last name (Required) Date of birth(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender(Required)malefemaleMarital Status(Required)SingleMarriedEducation(Required)DiplomaBachelorMasterPHDJob(Required) Height (cm)(Required)Weight (kg)(Required)Blood Groupo+o-A+A-B+B-AB+AB-Phone Number(Required)Email (Results are sent via email)(Required) Payment (30$ )Please email transfer to: Dr.Bahrami@gmail.com or Paypal to: Dr.Bahraminejad@yahoo.comThe full name of the payer:(Required) Date of payment(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Payment receipt(Required)Max. file size: 2 MB. Mention the full reason for requesting advice.(Required)Describe the chief complaint right now(Required) When did the discomfort and illness start?(Required) Is your discomfort persistent?(Required)NoYesWhat times of the day is severe?(Required) Do you have limitation in your joints movement?(Required)NoYesPlease mention joint name and amount of limitation.(Required) At what times and with what factor does the pain intensify and subside?(Required) Do you experience chest pain, palpitations or shortness of breath?NoYesPlease explain the process of its initiation and escalation(Required) Do you suffer from dizzy and headache?(Required)NoYesPlease explain the process of its initiation and escalation(Required) Do you have gastrointestinal disorders?(Required)NoYesPlease explain the process of its initiation and escalation(Required) Have you ever had a certain disease?(Required)NoYesMention the type of illness and its duration(Required) Have you been hospitalized before?(Required)NoYesMention the reason for hospitalization and its duration(Required) Have you ever had a muscle, bone or joint injury?(Required)NoYesMention the injury's location, its time and process(Required) Do you take any special medicine?(Required)NoYesExplain its type and amount(Required) Do you take any special nutritional supplements?(Required)NoYesExplain its type and amount(Required) Do you use cigarettes, alcohol or drugs?(Required)NoYesExplain its type and amount(Required) Are you allergic to a certain substance?(Required)NoYesExplain the signs and symptoms(Required) Is there any special disease in your first degree relatives?(Required)NoYesExplain its type completely(Required) Have your first degree relatives died due to a certain disease?(Required)NoYesExplain the cause of the disease completely(Required) Is there a history of hypertension, diabetes & hyperlipidemia in your first degree relatives?(Required)NoYesExplain its type and severity.(Required) Blood pressure (Minimum)Blood pressure (Maximum)Pulses rate (per min)Respiratory rate (per min)Body temperatureIf you need to explain more about your problem, explain it below In what language would you like to receive your training plan?(Required)EnglishPersianSend X-ray and Lab testMax. file size: 2 MB. While accepting the accuracy of the above information, I request advice (required)
