Rehabilitation questionnaire
A written preliminary opinion from the network's doctors: whether rehabilitation is possible in your case, what contraindications exist, and what to expect. To prepare it, the doctors need a health questionnaire.
Start filling out the questionnaireThe questionnaire opens in a new window. If anything is unclear, message the network coordinator via messenger.
- 6 steps
- the whole questionnaire
- about 5 minutes
- to fill it in
- 5 minutes
- until the opinion arrives
Attaching documents is optional
You can attach records and test results to the questionnaire, or send it without them. With documents the doctors' opinion will be more complete.
How it works
Medical questionnaire
Six short steps, about 5 minutes: patient age, diagnosis, symptoms, treatment history.
Records and test results — optional
Attach a photo or a scan — in any language, no advance translation needed.
Short videos of the condition
Up to 1 minute — how the patient moves, speaks, reacts. It helps doctors see the condition, not just read about it.
The doctor panel reviews the materials
Several doctors from different specialties review the case. The written opinion arrives within 24 hours.
What you get
A written opinion after reviewing your case
- An overall opinion — whether rehabilitation is possible in your case and what contraindications exist
- A clear explanation of the diagnosis in plain language
- Doctors' recommendations — an individual treatment plan
- Expected treatment duration
- A preliminary cost estimate
- Payment terms — payment only after arrival at the clinic, no prepayment
Still have questions?
Message the network coordinator on WhatsApp or Telegram — before, instead of, or alongside the questionnaire.