drmohans.com
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18.207.50.235
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Submitted URL: http://drmohans.com/
Effective URL: https://drmohans.com/
Submission Tags: tranco_l324
Submission: On April 12 via api from DE — Scanned from DE
Effective URL: https://drmohans.com/
Submission Tags: tranco_l324
Submission: On April 12 via api from DE — Scanned from DE
Form analysis
7 forms found in the DOMPOST /#gf_1
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_1" id="gform_1" action="/#gf_1" novalidate="">
<div class="gform_body gform-body">
<ul id="gform_fields_1" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_1_1" class="gfield hide_label gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_1_1"><label class="gfield_label" for="input_1_1">Name<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_1" id="input_1_1" type="text" value="" class="large" placeholder="Name" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_1_2" class="gfield hide_label gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_1_2"><label class="gfield_label" for="input_1_2">Email<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_2" id="input_1_2" type="email" value="" class="large" placeholder="Email Address" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_1_3" class="gfield hide_label gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_1_3"><label class="gfield_label" for="input_1_3">Phone<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_phone"><input name="input_3" id="input_1_3" type="tel" value="" class="large" placeholder="Phone Number" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_1_4" class="gfield hide_label gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_1_4"><label class="gfield_label" for="input_1_4">Location<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_4" id="input_1_4" class="large gfield_select" aria-required="true" aria-invalid="false" style="display: none;">
<option value="" selected="selected" class="gf_placeholder">Location</option>
<option value="Gopalapuram - Chennai">Gopalapuram - Chennai</option>
<option value="Anna Nagar - Chennai">Anna Nagar - Chennai</option>
<option value="Avadi - Chennai">Avadi - Chennai</option>
<option value="Tambaram - Chennai">Tambaram - Chennai</option>
<option value="Karapakkam - Chennai">Karapakkam - Chennai</option>
<option value="Porur - Chennai">Porur - Chennai</option>
<option value="Selaiyur - Chennai">Selaiyur - Chennai</option>
<option value="Velachery - Chennai">Velachery - Chennai</option>
<option value="Chunampet - Tamilnadu">Chunampet - Tamilnadu</option>
<option value="Coimbatore - Tamilnadu">Coimbatore - Tamilnadu</option>
<option value="Dindigul - Tamilnadu">Dindigul - Tamilnadu</option>
<option value="Erode - Tamilnadu">Erode - Tamilnadu</option>
<option value="Gudiyatham - Vellore">Gudiyatham - Vellore</option>
<option value="Kancheepuram - Tamilnadu">Kancheepuram - Tamilnadu</option>
<option value="Madurai - Tamilnadu">Madurai - Tamilnadu</option>
<option value="Salem- Tamilnadu">Salem- Tamilnadu</option>
<option value="Thanjavur - Tamilnadu">Thanjavur - Tamilnadu</option>
<option value="Tirupur - Tamilnadu">Tirupur - Tamilnadu</option>
<option value="Trichy - Tamilnadu">Trichy - Tamilnadu</option>
<option value="Tuticorin - Tamilnadu">Tuticorin - Tamilnadu</option>
<option value="Pondicherry">Pondicherry</option>
<option value="A.S.Rao Nagar - Hyderabad">A.S.Rao Nagar - Hyderabad</option>
<option value="Dilsukh Nagar - Hyderabad">Dilsukh Nagar - Hyderabad</option>
<option value="Domalguda,Indira Park Road - Hyderabad">Domalguda,Indira Park Road - Hyderabad</option>
<option value="Jubilee Hills - Hyderabad">Jubilee Hills - Hyderabad</option>
<option value="Kukatpally - Hyderabad">Kukatpally - Hyderabad</option>
<option value="Secunderabad - Hyderabad">Secunderabad - Hyderabad</option>
<option value="Nizamabad - Telangana">Nizamabad - Telangana</option>
<option value="Warangal- Telangana">Warangal- Telangana</option>
<option value="Chittoor- Andra Pradesh">Chittoor- Andra Pradesh</option>
<option value="Guntur - Andhra Pradesh">Guntur - Andhra Pradesh</option>
<option value="Kadapa - Andhra Pradesh">Kadapa - Andhra Pradesh</option>
<option value="Kakinada - Andhra Pradesh">Kakinada - Andhra Pradesh</option>
<option value="Kurnool - Andhra Pradesh">Kurnool - Andhra Pradesh</option>
<option value="Nellore - Andhra Pradesh">Nellore - Andhra Pradesh</option>
<option value="Rajahmundry - Andhra Pradesh">Rajahmundry - Andhra Pradesh</option>
<option value="Tirupati - Andhra Pradesh">Tirupati - Andhra Pradesh</option>
<option value="Vijayawada - Andhra Pradesh">Vijayawada - Andhra Pradesh</option>
<option value="Visakhapatnam - Andhra Pradesh">Visakhapatnam - Andhra Pradesh</option>
<option value="Bhubaneswar - Odisha">Bhubaneswar - Odisha</option>
<option value="Basavanagudi-Bengaluru">Basavanagudi-Bengaluru</option>
<option value="Indira Nagar - Bengaluru">Indira Nagar - Bengaluru</option>
<option value="JP Nagar - Bengaluru">JP Nagar - Bengaluru</option>
<option value="Malleshwaram - Bengaluru">Malleshwaram - Bengaluru</option>
<option value="Whitefield - Bengaluru">Whitefield - Bengaluru</option>
<option value="Calicut - Kerala">Calicut - Kerala</option>
<option value="Trivandrum - Kerala">Trivandrum - Kerala</option>
<option value="Kaikhali - Kolkata - West Bengal">Kaikhali - Kolkata - West Bengal</option>
<option value="Rash Behari Avenue - Kolkata - West Bengal">Rash Behari Avenue - Kolkata - West Bengal</option>
<option value="Siliguri - West Bengal">Siliguri - West Bengal</option>
</select>
<div class="chosen-container chosen-container-single" title="" id="input_1_4_chosen" style="width: 292px;"><a class="chosen-single">
<span>Location</span>
<div><b></b></div>
</a>
<div class="chosen-drop">
<div class="chosen-search">
<input class="chosen-search-input" type="text" autocomplete="off">
</div>
<ul class="chosen-results"></ul>
</div>
</div>
</div>
</li>
<li id="field_1_11" class="gfield hide_label gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_1_11"><label class="gfield_label" for="input_1_11">Preferred Date<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_date">
<input name="input_11" id="input_1_11" type="text" value="" class="datepicker dmy datepicker_with_icon gdatepicker_with_icon hasDatepicker initialized" placeholder="Preferred Date" aria-describedby="input_1_11_date_format"
aria-invalid="false" aria-required="true" readonly="readonly"><img class="ui-datepicker-trigger" src="https://www.drmohans.com/wp-content/themes/drmohans/images/Datepicker.png" alt="..." title="...">
<span id="input_1_11_date_format" class="screen-reader-text">DD slash MM slash YYYY</span>
</div>
<input type="hidden" id="gforms_calendar_icon_input_1_11" class="gform_hidden" value="https://drmohans.com/wp-content/plugins/gravityforms/images/calendar.png">
</li>
<li id="field_1_9" class="gfield hide_label field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_1_9">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_1_9">Old Preferred Date</label>
<div class="ginput_container ginput_container_text"><input name="input_9" id="input_1_9" type="text" value="" class="medium" placeholder="Old Preferred Date" aria-invalid="false"> </div>
</li>
<li id="field_1_6" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_1_6"><label class="gfield_label">Patient Type<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_1_6">
<li class="gchoice gchoice_1_6_0">
<input name="input_6" type="radio" value="New Patient" id="choice_1_6_0">
<label for="choice_1_6_0" id="label_1_6_0">New Patient</label>
</li>
<li class="gchoice gchoice_1_6_1">
<input name="input_6" type="radio" value="Review Patient" id="choice_1_6_1">
<label for="choice_1_6_1" id="label_1_6_1">Review Patient</label>
</li>
</ul>
</div>
</li>
<li id="field_1_12" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_1_12" style="display: none;"><label class="gfield_label" for="input_1_12">Patient No</label>
<div class="ginput_container ginput_container_text"><input name="input_12" id="input_1_12" type="text" value="" class="medium" placeholder="Patient Number" aria-invalid="false" disabled="disabled"> </div>
</li>
<li id="field_1_15" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_1_15" style="display: none;">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label">Covid-19 Vaccine<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_1_15">
<li class="gchoice gchoice_1_15_0">
<input name="input_15" type="radio" value="Yes, I need Covid-19 Vaccine" id="choice_1_15_0" disabled="disabled">
<label for="choice_1_15_0" id="label_1_15_0">Yes, I need Covid-19 Vaccine</label>
</li>
<li class="gchoice gchoice_1_15_1">
<input name="input_15" type="radio" value="No, I dont need Covid-19 Vaccine" id="choice_1_15_1" disabled="disabled">
<label for="choice_1_15_1" id="label_1_15_1">No, I dont need Covid-19 Vaccine</label>
</li>
</ul>
</div>
</li>
<li id="field_1_7" class="gfield hide_label field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_1_7">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_1_7">Old Patient No</label>
<div class="ginput_container ginput_container_number"><input name="input_7" id="input_1_7" type="number" step="any" value="" class="medium" placeholder="Patient Number" aria-invalid="false"></div>
</li>
<li id="field_1_8" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_1_8">
<div class="ginput_container ginput_container_text"><input name="input_8" id="input_1_8" type="hidden" class="gform_hidden" aria-invalid="false" value="https://drmohans.com/"></div>
</li>
<li id="field_1_10" class="gfield hide_label field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_1_10"><label class="gfield_label" for="input_1_10">Comments</label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_10" id="input_1_10" class="textarea small" placeholder="Comments" aria-invalid="false" rows="10" cols="50"></textarea></div>
</li>
<li id="field_1_16" class="gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_1_16"><label class="gfield_label" for="input_1_16">Comments</label>
<div class="ginput_container"><input name="input_16" id="input_1_16" type="text" value="" autocomplete="new-password"></div>
<div class="gfield_description" id="gfield_description_1_16">This field is for validation purposes and should be left unchanged.</div>
</li>
</ul>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_1" class="gform_button button" value="Submit"
onclick="if(window["gf_submitting_1"]){return false;} if( !jQuery("#gform_1")[0].checkValidity || jQuery("#gform_1")[0].checkValidity()){window["gf_submitting_1"]=true;} "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_1"]){return false;} if( !jQuery("#gform_1")[0].checkValidity || jQuery("#gform_1")[0].checkValidity()){window["gf_submitting_1"]=true;} jQuery("#gform_1").trigger("submit",[true]); }">
<input type="hidden" name="gform_ajax" value="form_id=1&title=&description=&tabindex=0">
<input type="hidden" class="gform_hidden" name="is_submit_1" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="1">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_1" value="WyJbXSIsImRiMjZkOGRjYjVmNDU5MDk0NDRlMWNhMGUxMmZiZTNkIl0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_1" id="gform_target_page_number_1" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_1" id="gform_source_page_number_1" value="1">
<input type="hidden" name="gform_field_values" value="1">
</div>
<p style="display: none !important;"><label>Δ<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_1" name="ak_js" value="1712911607880">
<script>
document.getElementById("ak_js_1").setAttribute("value", (new Date()).getTime());
</script>
</p>
</form>
POST /#gf_9
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_9" id="gform_9" action="/#gf_9" novalidate="">
<div class="gform_body gform-body">
<ul id="gform_fields_9" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_9_1" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_9_1"><label class="gfield_label screen-reader-text" for="input_9_1">Name</label>
<div class="ginput_container ginput_container_text"><input name="input_1" id="input_9_1" type="text" value="" class="medium" placeholder="Name" aria-invalid="false"> </div>
</li>
<li id="field_9_2" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_9_2"><label class="gfield_label screen-reader-text" for="input_9_2">Email</label>
<div class="ginput_container ginput_container_text"><input name="input_2" id="input_9_2" type="text" value="" class="medium" placeholder="Email" aria-invalid="false"> </div>
</li>
<li id="field_9_3" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_9_3"><label class="gfield_label screen-reader-text" for="input_9_3">Phone</label>
<div class="ginput_container ginput_container_text"><input name="input_3" id="input_9_3" type="text" value="" class="medium" placeholder="Phone" aria-invalid="false"> </div>
</li>
<li id="field_9_6" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_9_6"><label class="gfield_label screen-reader-text" for="input_9_6">Location</label>
<div class="ginput_container ginput_container_select"><select name="input_6" id="input_9_6" class="medium gfield_select" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Location</option>
<option value="First Choice">First Choice</option>
<option value="Second Choice">Second Choice</option>
<option value="Third Choice">Third Choice</option>
</select></div>
</li>
<li id="field_9_7" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_9_7"><label class="gfield_label" for="input_9_7">CAPTCHA</label>
<div id="input_9_7" class="ginput_container ginput_recaptcha" data-sitekey="6Ldzd70UAAAAAA4NmD005Aa5AQYnGz0knO7oHKQ1" data-theme="light" data-tabindex="0" data-badge=""></div>
</li>
<li id="field_9_8" class="gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_9_8"><label class="gfield_label" for="input_9_8">Comments</label>
<div class="ginput_container"><input name="input_8" id="input_9_8" type="text" value="" autocomplete="new-password"></div>
<div class="gfield_description" id="gfield_description_9_8">This field is for validation purposes and should be left unchanged.</div>
</li>
</ul>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_9" class="gform_button button" value="Submit"
onclick="if(window["gf_submitting_9"]){return false;} if( !jQuery("#gform_9")[0].checkValidity || jQuery("#gform_9")[0].checkValidity()){window["gf_submitting_9"]=true;} "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_9"]){return false;} if( !jQuery("#gform_9")[0].checkValidity || jQuery("#gform_9")[0].checkValidity()){window["gf_submitting_9"]=true;} jQuery("#gform_9").trigger("submit",[true]); }">
<input type="hidden" name="gform_ajax" value="form_id=9&title=&description=&tabindex=0">
<input type="hidden" class="gform_hidden" name="is_submit_9" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="9">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_9" value="WyJbXSIsImRiMjZkOGRjYjVmNDU5MDk0NDRlMWNhMGUxMmZiZTNkIl0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_9" id="gform_target_page_number_9" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_9" id="gform_source_page_number_9" value="1">
<input type="hidden" name="gform_field_values" value="1">
</div>
<p style="display: none !important;"><label>Δ<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_2" name="ak_js" value="1712911607906">
<script>
document.getElementById("ak_js_2").setAttribute("value", (new Date()).getTime());
</script>
</p>
</form>
POST /#gf_3
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_3" id="gform_3" action="/#gf_3" novalidate="">
<div class="gform_body gform-body">
<ul id="gform_fields_3" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_3_1" class="gfield hide_label gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_3_1"><label class="gfield_label" for="input_3_1">Name<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_1" id="input_3_1" type="text" value="" class="large" placeholder="Name" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_3_2" class="gfield hide_label gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_3_2"><label class="gfield_label" for="input_3_2">Email<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_2" id="input_3_2" type="email" value="" class="large" placeholder="Email Address" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_3_3" class="gfield hide_label gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_3_3"><label class="gfield_label" for="input_3_3">Phone<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_phone"><input name="input_3" id="input_3_3" type="tel" value="" class="large" placeholder="Phone Number" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_3_4" class="gfield hide_label gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_3_4"><label class="gfield_label" for="input_3_4">Location<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_4" id="input_3_4" class="large gfield_select" aria-required="true" aria-invalid="false" style="display: none;">
<option value="" selected="selected" class="gf_placeholder">Location</option>
<option value="Gopalapuram - Chennai">Gopalapuram - Chennai</option>
<option value="Anna Nagar - Chennai">Anna Nagar - Chennai</option>
<option value="Avadi - Chennai">Avadi - Chennai</option>
<option value="Tambaram - Chennai">Tambaram - Chennai</option>
<option value="Karapakkam - Chennai">Karapakkam - Chennai</option>
<option value="Porur - Chennai">Porur - Chennai</option>
<option value="Selaiyur - Chennai">Selaiyur - Chennai</option>
<option value="Velachery - Chennai">Velachery - Chennai</option>
<option value="Coimbatore">Coimbatore</option>
<option value="Dindigul">Dindigul</option>
<option value="Erode">Erode</option>
<option value="Madurai">Madurai</option>
<option value="Salem">Salem</option>
<option value="Gudiyatham - Vellore">Gudiyatham - Vellore</option>
<option value="Thanjavur">Thanjavur</option>
<option value="Trichy">Trichy</option>
<option value="Tirupur">Tirupur</option>
<option value="Tuticorin">Tuticorin</option>
<option value="Chunampet">Chunampet</option>
<option value="Kancheepuram">Kancheepuram</option>
<option value="Pondicherry">Pondicherry</option>
<option value="Domalguda,Indira Park Road - Hyderabad">Domalguda,Indira Park Road - Hyderabad</option>
<option value="Jubilee Hills - Hyderabad">Jubilee Hills - Hyderabad</option>
<option value="Kukatpally - Hyderabad">Kukatpally - Hyderabad</option>
<option value="Dilsukh Nagar - Hyderabad">Dilsukh Nagar - Hyderabad</option>
<option value="Secunderabad - Hyderabad">Secunderabad - Hyderabad</option>
<option value="A.S.Rao Nagar - Hyderabad">A.S.Rao Nagar - Hyderabad</option>
<option value="Nizamabad - Telangana">Nizamabad - Telangana</option>
<option value="Warangal - Telangana">Warangal - Telangana</option>
<option value="Guntur - Andhra Pradesh">Guntur - Andhra Pradesh</option>
<option value="Chittoor-Andhra Pradesh">Chittoor-Andhra Pradesh</option>
<option value="Kadapa - Andhra Pradesh">Kadapa - Andhra Pradesh</option>
<option value="Kakinada - Andhra Pradesh">Kakinada - Andhra Pradesh</option>
<option value="Kurnool - Andhra Pradesh">Kurnool - Andhra Pradesh</option>
<option value="Rajahmundry - Andhra Pradesh">Rajahmundry - Andhra Pradesh</option>
<option value="Nellore - Andhra Pradesh">Nellore - Andhra Pradesh</option>
<option value="Vijayawada - Andhra Pradesh">Vijayawada - Andhra Pradesh</option>
<option value="Visakhapatnam - Andhra Pradesh">Visakhapatnam - Andhra Pradesh</option>
<option value="Andhra Pradesh-Tirupati">Andhra Pradesh-Tirupati</option>
<option value="Bhubaneswar - Odisha">Bhubaneswar - Odisha</option>
<option value="Basavanagudi-Bengaluru">Basavanagudi-Bengaluru</option>
<option value="Indira Nagar - Bengaluru">Indira Nagar - Bengaluru</option>
<option value="JP Nagar - Bengaluru">JP Nagar - Bengaluru</option>
<option value="Malleshwaram - Bengaluru">Malleshwaram - Bengaluru</option>
<option value="Whitefield - Bengaluru">Whitefield - Bengaluru</option>
<option value="Calicut - Kerala">Calicut - Kerala</option>
<option value="Trivandrum - Kerala">Trivandrum - Kerala</option>
<option value="Kaikhali - Kolkata - West Bengal">Kaikhali - Kolkata - West Bengal</option>
<option value="Rash Behari Avenue - Kolkata - West Bengal">Rash Behari Avenue - Kolkata - West Bengal</option>
<option value="Siliguri - West Bengal">Siliguri - West Bengal</option>
</select>
<div class="chosen-container chosen-container-single" title="" id="input_3_4_chosen" style="width: 305px;"><a class="chosen-single">
<span>Location</span>
<div><b></b></div>
</a>
<div class="chosen-drop">
<div class="chosen-search">
<input class="chosen-search-input" type="text" autocomplete="off">
</div>
<ul class="chosen-results"></ul>
</div>
</div>
</div>
</li>
<li id="field_3_11" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_3_11"><label class="gfield_label" for="input_3_11">Preferred Date<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_date">
<input name="input_11" id="input_3_11" type="text" value="" class="datepicker dmy datepicker_with_icon gdatepicker_with_icon hasDatepicker initialized" placeholder="Preferred Date" aria-describedby="input_3_11_date_format"
aria-invalid="false" aria-required="true" readonly="readonly"><img class="ui-datepicker-trigger" src="https://www.drmohans.com/wp-content/themes/drmohans/images/Datepicker.png" alt="..." title="...">
<span id="input_3_11_date_format" class="screen-reader-text">DD slash MM slash YYYY</span>
</div>
<input type="hidden" id="gforms_calendar_icon_input_3_11" class="gform_hidden" value="https://drmohans.com/wp-content/plugins/gravityforms/images/calendar.png">
</li>
<li id="field_3_9" class="gfield field_sublabel_below field_description_below hidden_label gfield_visibility_hidden" data-js-reload="field_3_9">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_3_9">Old Preferred Date</label>
<div class="ginput_container ginput_container_text"><input name="input_9" id="input_3_9" type="text" value="" class="medium" placeholder="Preferred Date" aria-invalid="false"> </div>
</li>
<li id="field_3_6" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_3_6"><label class="gfield_label">Patient Type<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_3_6">
<li class="gchoice gchoice_3_6_0">
<input name="input_6" type="radio" value="New Patient" id="choice_3_6_0">
<label for="choice_3_6_0" id="label_3_6_0">New Patient</label>
</li>
<li class="gchoice gchoice_3_6_1">
<input name="input_6" type="radio" value="Review Patient" id="choice_3_6_1">
<label for="choice_3_6_1" id="label_3_6_1">Review Patient</label>
</li>
</ul>
</div>
</li>
<li id="field_3_12" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_3_12" style="display: none;"><label class="gfield_label" for="input_3_12">Patient Number</label>
<div class="ginput_container ginput_container_text"><input name="input_12" id="input_3_12" type="text" value="" class="medium" placeholder="Patient Number" aria-invalid="false" disabled="disabled"> </div>
</li>
<li id="field_3_13" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_3_13" style="display: none;">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label">Covid-19 Vaccine<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_3_13">
<li class="gchoice gchoice_3_13_0">
<input name="input_13" type="radio" value="Yes, I need Covid-19 Vaccine" id="choice_3_13_0" disabled="disabled">
<label for="choice_3_13_0" id="label_3_13_0">Yes, I need Covid-19 Vaccine</label>
</li>
<li class="gchoice gchoice_3_13_1">
<input name="input_13" type="radio" value="No, I dont need Covid-19 Vaccine" id="choice_3_13_1" disabled="disabled">
<label for="choice_3_13_1" id="label_3_13_1">No, I dont need Covid-19 Vaccine</label>
</li>
</ul>
</div>
</li>
<li id="field_3_7" class="gfield field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_3_7">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_3_7">Old Patient Number</label>
<div class="ginput_container ginput_container_number"><input name="input_7" id="input_3_7" type="text" step="any" value="" class="large" aria-invalid="false"></div>
</li>
<li id="field_3_8" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_3_8">
<div class="ginput_container ginput_container_text"><input name="input_8" id="input_3_8" type="hidden" class="gform_hidden" aria-invalid="false" value="https://drmohans.com/"></div>
</li>
<li id="field_3_10" class="gfield hide_label field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_3_10"><label class="gfield_label" for="input_3_10">Comments</label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_10" id="input_3_10" class="textarea small" placeholder="Comments" aria-invalid="false" rows="10" cols="50"></textarea></div>
</li>
<li id="field_3_14" class="gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_3_14"><label class="gfield_label" for="input_3_14">Phone</label>
<div class="ginput_container"><input name="input_14" id="input_3_14" type="text" value="" autocomplete="new-password"></div>
<div class="gfield_description" id="gfield_description_3_14">This field is for validation purposes and should be left unchanged.</div>
</li>
</ul>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_3" class="gform_button button" value="Submit"
onclick="if(window["gf_submitting_3"]){return false;} if( !jQuery("#gform_3")[0].checkValidity || jQuery("#gform_3")[0].checkValidity()){window["gf_submitting_3"]=true;} "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_3"]){return false;} if( !jQuery("#gform_3")[0].checkValidity || jQuery("#gform_3")[0].checkValidity()){window["gf_submitting_3"]=true;} jQuery("#gform_3").trigger("submit",[true]); }">
<input type="hidden" name="gform_ajax" value="form_id=3&title=&description=&tabindex=0">
<input type="hidden" class="gform_hidden" name="is_submit_3" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="3">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_3" value="WyJbXSIsImRiMjZkOGRjYjVmNDU5MDk0NDRlMWNhMGUxMmZiZTNkIl0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_3" id="gform_target_page_number_3" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_3" id="gform_source_page_number_3" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
<p style="display: none !important;"><label>Δ<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_3" name="ak_js" value="1712911607928">
<script>
document.getElementById("ak_js_3").setAttribute("value", (new Date()).getTime());
</script>
</p>
</form>
POST /#gf_2
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_2" id="gform_2" action="/#gf_2" novalidate="">
<div class="gform_body gform-body">
<ul id="gform_fields_2" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_2_2" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_2_2"><label class="gfield_label" for="input_2_2">Name<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_2" id="input_2_2" type="text" value="" class="medium" placeholder="Name" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_2_3" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_2_3"><label class="gfield_label" for="input_2_3">Email Address<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_3" id="input_2_3" type="email" value="" class="medium" placeholder="Email Address" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_2_4" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_2_4"><label class="gfield_label" for="input_2_4">Phone number<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_phone"><input name="input_4" id="input_2_4" type="tel" value="" class="medium" placeholder="Phone Number" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_2_6" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_2_6"><label class="gfield_label" for="input_2_6">Address/Location<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_6" id="input_2_6" class="textarea medium" placeholder="Location" aria-required="true" aria-invalid="false" rows="10" cols="50"></textarea></div>
</li>
<li id="field_2_7" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_2_7">
<div class="ginput_container ginput_container_text"><input name="input_7" id="input_2_7" type="hidden" class="gform_hidden" aria-invalid="false" value="https://drmohans.com/"></div>
</li>
<li id="field_2_8" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_2_8"><label class="gfield_label" for="input_2_8">CAPTCHA</label>
<div id="input_2_8" class="ginput_container ginput_recaptcha" data-sitekey="6Ldzd70UAAAAAA4NmD005Aa5AQYnGz0knO7oHKQ1" data-theme="light" data-tabindex="0" data-badge=""></div>
</li>
<li id="field_2_9" class="gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_2_9"><label class="gfield_label" for="input_2_9">Name</label>
<div class="ginput_container"><input name="input_9" id="input_2_9" type="text" value="" autocomplete="new-password"></div>
<div class="gfield_description" id="gfield_description_2_9">This field is for validation purposes and should be left unchanged.</div>
</li>
</ul>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_2" class="gform_button button" value="Submit"
onclick="if(window["gf_submitting_2"]){return false;} if( !jQuery("#gform_2")[0].checkValidity || jQuery("#gform_2")[0].checkValidity()){window["gf_submitting_2"]=true;} "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_2"]){return false;} if( !jQuery("#gform_2")[0].checkValidity || jQuery("#gform_2")[0].checkValidity()){window["gf_submitting_2"]=true;} jQuery("#gform_2").trigger("submit",[true]); }">
<input type="hidden" name="gform_ajax" value="form_id=2&title=&description=&tabindex=0">
<input type="hidden" class="gform_hidden" name="is_submit_2" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="2">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_2" value="WyJbXSIsImRiMjZkOGRjYjVmNDU5MDk0NDRlMWNhMGUxMmZiZTNkIl0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_2" id="gform_target_page_number_2" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_2" id="gform_source_page_number_2" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
<p style="display: none !important;"><label>Δ<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_4" name="ak_js" value="1712911607934">
<script>
document.getElementById("ak_js_4").setAttribute("value", (new Date()).getTime());
</script>
</p>
</form>
POST /#gf_4
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_4" id="gform_4" action="/#gf_4" novalidate="">
<div class="gform_body gform-body">
<ul id="gform_fields_4" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_4_1" class="gfield hide_label gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_4_1"><label class="gfield_label" for="input_4_1">Name<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_1" id="input_4_1" type="text" value="" class="large" placeholder="Name" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_4_2" class="gfield hide_label gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_4_2"><label class="gfield_label" for="input_4_2">Email Address<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_2" id="input_4_2" type="email" value="" class="large" placeholder="Email" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_4_3" class="gfield hide_label gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_4_3"><label class="gfield_label" for="input_4_3">Phone<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_phone"><input name="input_3" id="input_4_3" type="tel" value="" class="large" placeholder="Phone" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_4_4" class="gfield hide_label gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_4_4"><label class="gfield_label" for="input_4_4">Location<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_4" id="input_4_4" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Location</option>
<option value="Gopalapuram - Chennai">Gopalapuram - Chennai</option>
<option value="Anna Nagar - Chennai">Anna Nagar - Chennai</option>
<option value="Avadi - Chennai">Avadi - Chennai</option>
<option value="Tambaram - Chennai">Tambaram - Chennai</option>
<option value="Karapakkam - Chennai">Karapakkam - Chennai</option>
<option value="Porur - Chennai">Porur - Chennai</option>
<option value="Selaiyur - Chennai">Selaiyur - Chennai</option>
<option value="Velachery - Chennai">Velachery - Chennai</option>
<option value="Coimbatore">Coimbatore</option>
<option value="Dindigul">Dindigul</option>
<option value="Erode">Erode</option>
<option value="Madurai">Madurai</option>
<option value="Salem">Salem</option>
<option value="Gudiyatham - Vellore">Gudiyatham - Vellore</option>
<option value="Thanjavur">Thanjavur</option>
<option value="Trichy">Trichy</option>
<option value="Tirupur">Tirupur</option>
<option value="Tuticorin">Tuticorin</option>
<option value="Chunampet">Chunampet</option>
<option value="Kancheepuram">Kancheepuram</option>
<option value="Pondicherry">Pondicherry</option>
<option value="Domalguda,Indira Park Road - Hyderabad">Domalguda,Indira Park Road - Hyderabad</option>
<option value="Jubilee Hills - Hyderabad">Jubilee Hills - Hyderabad</option>
<option value="Kukatpally - Hyderabad">Kukatpally - Hyderabad</option>
<option value="Dilsukh Nagar - Hyderabad">Dilsukh Nagar - Hyderabad</option>
<option value="Secunderabad - Hyderabad">Secunderabad - Hyderabad</option>
<option value="A.S.Rao Nagar - Hyderabad">A.S.Rao Nagar - Hyderabad</option>
<option value="Nizamabad - Telangana">Nizamabad - Telangana</option>
<option value="Warangal - Telangana">Warangal - Telangana</option>
<option value="Chittoor-Andhra Pradesh">Chittoor-Andhra Pradesh</option>
<option value="Guntur - Andhra Pradesh">Guntur - Andhra Pradesh</option>
<option value="Kadapa - Andhra Pradesh">Kadapa - Andhra Pradesh</option>
<option value="Kakinada - Andhra Pradesh">Kakinada - Andhra Pradesh</option>
<option value="Kurnool - Andhra Pradesh">Kurnool - Andhra Pradesh</option>
<option value="Rajahmundry - Andhra Pradesh">Rajahmundry - Andhra Pradesh</option>
<option value="Nellore - Andhra Pradesh">Nellore - Andhra Pradesh</option>
<option value="Vijayawada - Andhra Pradesh">Vijayawada - Andhra Pradesh</option>
<option value="Andhra Pradesh-Tirupati">Andhra Pradesh-Tirupati</option>
<option value="Visakhapatnam - Andhra Pradesh">Visakhapatnam - Andhra Pradesh</option>
<option value="Bhubaneswar - Odisha">Bhubaneswar - Odisha</option>
<option value="Basavanagudi-Bengaluru">Basavanagudi-Bengaluru</option>
<option value="Indira Nagar - Bengaluru">Indira Nagar - Bengaluru</option>
<option value="JP Nagar - Bengaluru">JP Nagar - Bengaluru</option>
<option value="Malleshwaram - Bengaluru">Malleshwaram - Bengaluru</option>
<option value="Whitefield - Bengaluru">Whitefield - Bengaluru</option>
<option value="Calicut - Kerala">Calicut - Kerala</option>
<option value="Trivandrum - Kerala">Trivandrum - Kerala</option>
<option value="Kaikhali - Kolkata - West Bengal">Kaikhali - Kolkata - West Bengal</option>
<option value="Rash Behari Avenue - Kolkata - West Bengal">Rash Behari Avenue - Kolkata - West Bengal</option>
<option value="Siliguri - West Bengal">Siliguri - West Bengal</option>
</select></div>
</li>
<li id="field_4_11" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_4_11"><label class="gfield_label" for="input_4_11">Preferred Date<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_date">
<input name="input_11" id="input_4_11" type="text" value="" class="datepicker dmy datepicker_with_icon gdatepicker_with_icon hasDatepicker initialized" placeholder="Preferred Date" aria-describedby="input_4_11_date_format"
aria-invalid="false" aria-required="true" readonly="readonly"><img class="ui-datepicker-trigger" src="https://www.drmohans.com/wp-content/themes/drmohans/images/Datepicker.png" alt="..." title="...">
<span id="input_4_11_date_format" class="screen-reader-text">DD slash MM slash YYYY</span>
</div>
<input type="hidden" id="gforms_calendar_icon_input_4_11" class="gform_hidden" value="https://drmohans.com/wp-content/plugins/gravityforms/images/calendar.png">
</li>
<li id="field_4_5" class="gfield hide_label calander_icons field_sublabel_below field_description_below hidden_label gfield_visibility_hidden" data-js-reload="field_4_5">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_4_5">Old Preferred Date</label>
<div class="ginput_container ginput_container_date">
<input name="input_5" id="input_4_5" type="text" value="" class="datepicker dmy datepicker_no_icon gdatepicker-no-icon hasDatepicker initialized" placeholder="Old Preferred Date" aria-describedby="input_4_5_date_format" aria-invalid="false"
readonly="readonly"><img class="ui-datepicker-trigger" src="https://www.drmohans.com/wp-content/themes/drmohans/images/Datepicker.png" alt="..." title="...">
<span id="input_4_5_date_format" class="screen-reader-text">DD slash MM slash YYYY</span>
</div>
<input type="hidden" id="gforms_calendar_icon_input_4_5" class="gform_hidden" value="https://drmohans.com/wp-content/plugins/gravityforms/images/datepicker/datepicker.svg">
</li>
<li id="field_4_6" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_4_6"><label class="gfield_label">Patient Type<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_4_6">
<li class="gchoice gchoice_4_6_0">
<input name="input_6" type="radio" value="New Patient" id="choice_4_6_0">
<label for="choice_4_6_0" id="label_4_6_0">New Patient</label>
</li>
<li class="gchoice gchoice_4_6_1">
<input name="input_6" type="radio" value="Review Patient" id="choice_4_6_1">
<label for="choice_4_6_1" id="label_4_6_1">Review Patient</label>
</li>
</ul>
</div>
</li>
<li id="field_4_12" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_4_12" style="display: none;"><label class="gfield_label" for="input_4_12">Patient Number</label>
<div class="ginput_container ginput_container_text"><input name="input_12" id="input_4_12" type="text" value="" class="medium" placeholder="Patient Number" aria-invalid="false" disabled="disabled"> </div>
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Text Content
* Services Expand child menu Diabetes PreventionDiabetes DietWeight LossStress ManagementPrecision DiabetesInsulin ManagementHypoglycemiaEye Care Foot CareCardiac CareKidney CareDiabetes PhysiotherapyOrthopedic CareSurgeriesDental CarePregnancy FitnessObesity CentreIP FacilityDiabetes LaboratoryPharmacyHome CareInsurance & Corporate ServicesInternational Patients * About Us Expand child menu * Directors * Recognition * Growth Story * Homage * Doctors Team * Partner institutions * CSR * Careers * Research * Investor Info * Our Magazine (Diabetes Monitor) * Testimonials * Articles & Blogs Expand child menu * Articles * Blogs * News and Views * Preventive Care * Kidney Care * Counselling * Diabetes Diet * Pregnancy * Fitness * Diabetes Footcare * Stress Management * Weight Loss * Counselling * Locate Clinic Expand child menu Andhra Pradesh Expand child menu * Chittoor * Guntur * Kadapa * Kakinada * Kurnool * Nellore * Rajahmundry * Tirupati * Vijayawada * Visakhapatnam Odisha Expand child menu * Bhubaneswar Chennai Expand child menu * Anna Nagar * Avadi * Gopalapuram * OMR – Karapakkam * Porur * Selaiyur * Tambaram * Velachery Karnataka Expand child menu * Basavanagudi * JP Nagar * Malleswaram * Indira Nagar * Whitefield Kerala Expand child menu * Calicut * Thiruvananthapuram PuducherryTamil Nadu Expand child menu * Chunampet * Coimbatore * Erode * Gudiyatham * Kancheepuram * Madurai * Salem * Thanjavur * Tirupur * Tiruchirappalli (Trichy) * Thoothukudi * Vellore Telangana Expand child menu * A.S.Rao Nagar (Hyderabad) * Dilsukh Nagar (Malakpet) * Domalguda (Hyderabad) * Jubilee Hills (Hyderabad) * Kukatpally (Hyderabad) * Secunderabad * Nizamabad * Warangal West Bengal Expand child menu * Kolkata Expand child menu * Kaikhali * Rash Behari Avenue * Siliguri Book Appointment INDIA’S MOST TRUSTED DIABETES CENTRE EXPLORE WELCOME TO DR. MOHAN’S DIABETES SPECIALITIES CENTRE EXPLORE INDIA’S MOST TRUSTED DIABETES CENTRE EXPLORE OUR TEAM SPELLS COMMITMENT TO PROVIDE COMPREHENSIVE CARE FOR ALL YOUR NEEDS EXPLORE WELCOME TO DR. MOHAN’S DIABETES SPECIALITIES CENTRE EXPLORE INDIA’S MOST TRUSTED DIABETES CENTRE EXPLORE OUR TEAM SPELLS COMMITMENT TO PROVIDE COMPREHENSIVE CARE FOR ALL YOUR NEEDS EXPLORE EXPERT CARE AT YOUR SERVICE We have the country’s most skilled and experienced clinical and paraclinical personnel ably supported by state-of-the-art infrastructure to extend personalised services, expert advice on nutrition and diabetic products. At Dr Mohan’s, we understand every patient is unique and, therefore, we are committed to providing you with customised treatment solutions for your varied needs. WATCH HOW WE CARE Helping you know your Diabetes DIABETES DIET Our in-house nutritionists and dieticians help you maintain the right weight and food habits. Their services go hand in hand with the medications to help you achieve better results. FITNESS We provide fitness training and counselling to help patients manage insulin levels, lower blood pressure and reduce stress. STRESS MANAGEMENT We undertake psychological evaluation and conduct patient-education, skills-development and motivation through counseling, as well as relaxation techniques. PRECISION DIABETES We customize health care by tailoring testing, decisions and treatments to the individual. PREVENTIVE CARE With regular check-ups and timely intervention, we help you prevent diabetes and the complications due to diabetes. WEIGHT LOSS We assist you in achieving your optimal body weight, thereby preventing the development of diabetes and making control easier if you have already been diagnosed with diabetes. EYE CARE Our retinal specialists ensure that your eyes are protected from the ill-effects of diabetes FOOT CARE We provide comprehensive facilities for early detection and treatment of diabetic foot complications KIDNEY CARE We ensure that your kidneys remain in good health through prevention, early detection and prompt treatment of diabetic kidney disease. CARDIAC CARE We provide preventive, diagnostic and therapeutic services for heart disease due to diabetes. SURGERIES & TREATMENTS With timely check-ups and specific treatment options for every part of your body, we help you manage diabetes with ease. ORTHOPEDIC CARE Right from mobilisation of joints to surgeries and preventive care, our orthopedic specialists offer expert treatment for bone and joint problems. PREGNANCY We ensure the best possible outcome for your pregnancy through a multidisciplinary approach to achieve optimal blood glucose control. PHYSIOTHERAPY Our therapists are well-acquainted with promoting mobility of joints and tissues for increased circulation and strength conditioning. HOME CARE We put the well-being of our patients at the centre of everything we do. Get the best treatment services from the comfort of your home. LAB Our state-of-the-art labs are equipped with cutting edge tchnology to deliver accurate results. INSURANCE & CORPORATE SERVICES We offer exclusive benefits tailor-made for Corporate Employees and Insurance options created for your needs. INTERNATIONAL PATIENTS We extend a seamless service right to our overseas patients right from the first enquiry to the post-treatment follow-up. SHOP ONLINE From special dietary needs to orthopedic footwear that is beneficial and fashionable, all our products are available online with easy payment and delivery options. Helping You Know Your Diabetes DIABETES DIET Our in-house nutritionists and dietitians help you maintain the right weight and food habits. Their services go hand in hand with the medications to help you achieve better results FITNESS We provide fitness training and counselling to help patients manage insulin levels, lower blood pressure and reduce stress STRESS MANAGEMENT We undertake psychological evaluation and conduct patient education, skills development and motivation through counseling, as well as relaxation techniques PRECISION DIABETES Customization of health care with medical practices, testing, decisions and treatments tailored to the individual patient level DIABETES PREVENTION With regular check-ups and timely intervention, we help you prevent diabetes and complications due to diabetes WEIGHT LOSS We assist you in achieving your optimal body weight, thereby preventing the development of diabetes and making control easier if you have already been diagnosed with diabetes EYE CARE Our retinal specialists ensure that your eyes are protected from the ill-effects of diabetes FOOT CARE We provide comprehensive facilities for early detection and treatment of diabetes-related foot complications KIDNEY CARE We ensure that your kidneys remain in good health through prevention, early detection and prompt treatment of diabetes-related kidney disease CARDIAC CARE We provide preventive, diagnostic and therapeutic services for heart disease due to diabetes SURGERIES & TREATMENTS With timely check-ups and specific treatment options for every part of your body, we help you manage diabetes with ease ORTHOPEDIC CARE Right from mobilisation of joints to surgeries and preventive care, our orthopedic specialists offer expert treatment for bone and joint problems PREGNANCY We ensure the best possible outcome for your pregnancy through a multidisciplinary approach to achieve optimal blood glucose control PHYSIOTHERAPY Our therapists are well-acquainted with promoting mobility of joints and tissues for increased circulation and strength conditioning HOME CARE We put the well-being of our patients at the centre of everything we do. Get the best treatment services from the comfort of your home LAB Our state-of-the-art labs are equipped with cutting edge technology to deliver accurate results INSURANCE & CORPORATE SERVICES We offer exclusive benefits tailor-made for corporate employees and insurance options created for your needs INTERNATIONAL PATIENTS We extend seamless service to our overseas patients right from the first enquiry to the post-treatment follow-up SHOP ONLINE From special dietary needs to orthopedic footwear that is beneficial and fashionable, all our products are available online with easy payment and delivery options WHAT MAKES US A #1 DIABETES SPECIALITIES CENTRE IN INDIA? When you turn to DMDSC, you’re choosing the best diabetes treatment solutions. Below are some numbers that speak volumes about our centre: More than 30 Years of Service in prevention and management of diabetes Clinical excellence based on 30 years of extensive research State of art facilities comparable to the best in the world With dozens of diabetes hospitals in Tamilnadu, Telangana. Andhra Pradesh, Karnataka, Kerala and other locations throughout India, we set out to make the whole country healthier. Exclusive range of Diabetes Health Products Customized Diabetes treatment Book an Appointment LET'S GET YOU SET UP WITH AN APPOINTMENT * Name* * Email* * Phone* * Location* LocationGopalapuram - ChennaiAnna Nagar - ChennaiAvadi - ChennaiTambaram - ChennaiKarapakkam - ChennaiPorur - ChennaiSelaiyur - ChennaiVelachery - ChennaiChunampet - TamilnaduCoimbatore - TamilnaduDindigul - TamilnaduErode - TamilnaduGudiyatham - VelloreKancheepuram - TamilnaduMadurai - TamilnaduSalem- TamilnaduThanjavur - TamilnaduTirupur - TamilnaduTrichy - TamilnaduTuticorin - TamilnaduPondicherryA.S.Rao Nagar - HyderabadDilsukh Nagar - HyderabadDomalguda,Indira Park Road - HyderabadJubilee Hills - HyderabadKukatpally - HyderabadSecunderabad - HyderabadNizamabad - TelanganaWarangal- TelanganaChittoor- Andra PradeshGuntur - Andhra PradeshKadapa - Andhra PradeshKakinada - Andhra PradeshKurnool - Andhra PradeshNellore - Andhra PradeshRajahmundry - Andhra PradeshTirupati - Andhra PradeshVijayawada - Andhra PradeshVisakhapatnam - Andhra PradeshBhubaneswar - OdishaBasavanagudi-BengaluruIndira Nagar - BengaluruJP Nagar - BengaluruMalleshwaram - BengaluruWhitefield - BengaluruCalicut - KeralaTrivandrum - KeralaKaikhali - Kolkata - West BengalRash Behari Avenue - Kolkata - West BengalSiliguri - West Bengal Location * Preferred Date* DD slash MM slash YYYY * Hidden Old Preferred Date * Patient Type* * New Patient * Review Patient * Patient No * Hidden Covid-19 Vaccine* * Yes, I need Covid-19 Vaccine * No, I dont need Covid-19 Vaccine * Hidden Old Patient No * * Comments * Comments This field is for validation purposes and should be left unchanged. Δ WANT TO LEARN MORE ABOUT TREATMENT AND PREVENTION OF DIABETES? LEARN MORE. Choose Your Journey * Should you get Screened? * Defeat Diabetes * Precision Diabetes * Home care Service Understand Your Diabetes PREVENTION AND MANAGEMENT OF DIABETES Keep an eye out for all the factors that may increase your risk of type 2 diabetes. By Team Dr Mohan’s A disease is often like a jigsaw puzzle, with many interlocking parts and pieces. To tame it, every piece has to fit in: why it happens, how it happens, who it happens to and … Continue reading “ARE YOU AT RISK OF DIABETES?” Read More AGP : A PRECIOUS TOOL FOR PEOPLE WITH DIABETES Keep an eye out for all the factors that may increase your risk of type 2 diabetes. By Team Dr Mohan’s A disease is often like a jigsaw puzzle, with many interlocking parts and pieces. To tame it, every piece has to fit in: why it happens, how it happens, who it happens to and … Continue reading “ARE YOU AT RISK OF DIABETES?” Read More PATIENTS WITH DIABETES CAN OUTLIVE NONDIABETICS,-DR V MOHAN Keep an eye out for all the factors that may increase your risk of type 2 diabetes. By Team Dr Mohan’s A disease is often like a jigsaw puzzle, with many interlocking parts and pieces. To tame it, every piece has to fit in: why it happens, how it happens, who it happens to and … Continue reading “ARE YOU AT RISK OF DIABETES?” Read More READ ALL BLOGS * Name * Email * Phone * Location LocationFirst ChoiceSecond ChoiceThird Choice * CAPTCHA * Comments This field is for validation purposes and should be left unchanged. Δ BOOK AN APPOINTMENT LET'S GET YOU SET UP WITH AN APPOINTMENT * Name* * Email* * Phone* * Location* LocationGopalapuram - ChennaiAnna Nagar - ChennaiAvadi - ChennaiTambaram - ChennaiKarapakkam - ChennaiPorur - ChennaiSelaiyur - ChennaiVelachery - ChennaiCoimbatoreDindigulErodeMaduraiSalemGudiyatham - VelloreThanjavurTrichyTirupurTuticorinChunampetKancheepuramPondicherryDomalguda,Indira Park Road - HyderabadJubilee Hills - HyderabadKukatpally - HyderabadDilsukh Nagar - HyderabadSecunderabad - HyderabadA.S.Rao Nagar - HyderabadNizamabad - TelanganaWarangal - TelanganaGuntur - Andhra PradeshChittoor-Andhra PradeshKadapa - Andhra PradeshKakinada - Andhra PradeshKurnool - Andhra PradeshRajahmundry - Andhra PradeshNellore - Andhra PradeshVijayawada - Andhra PradeshVisakhapatnam - Andhra PradeshAndhra Pradesh-TirupatiBhubaneswar - OdishaBasavanagudi-BengaluruIndira Nagar - BengaluruJP Nagar - BengaluruMalleshwaram - BengaluruWhitefield - BengaluruCalicut - KeralaTrivandrum - KeralaKaikhali - Kolkata - West BengalRash Behari Avenue - Kolkata - West BengalSiliguri - West Bengal Location * Preferred Date* DD slash MM slash YYYY * Hidden Old Preferred Date * Patient Type* * New Patient * Review Patient * Patient Number * Hidden Covid-19 Vaccine* * Yes, I need Covid-19 Vaccine * No, I dont need Covid-19 Vaccine * Hidden Old Patient Number * * Comments * Phone This field is for validation purposes and should be left unchanged. Δ X WE ARE LOCATED ACROSS 40+ CENTRES IN INDIA. LOCATE US FOR CONSULTATION States Andhra PradeshChennaiKarnatakaKeralaOdishaPuducherryTamil NaduTelanganaWest Bengal Cities Search X ENQUIRE * Name* * Email Address* * Phone number* * Address/Location* * * CAPTCHA * Name This field is for validation purposes and should be left unchanged. Δ X X X BOOK AN APPOINTMENT LET'S GET YOU SET UP WITH AN APPOINTMENT * Name* * Email Address* * Phone* * Location* LocationGopalapuram - ChennaiAnna Nagar - ChennaiAvadi - ChennaiTambaram - ChennaiKarapakkam - ChennaiPorur - ChennaiSelaiyur - ChennaiVelachery - ChennaiCoimbatoreDindigulErodeMaduraiSalemGudiyatham - VelloreThanjavurTrichyTirupurTuticorinChunampetKancheepuramPondicherryDomalguda,Indira Park Road - HyderabadJubilee Hills - HyderabadKukatpally - HyderabadDilsukh Nagar - HyderabadSecunderabad - HyderabadA.S.Rao Nagar - HyderabadNizamabad - TelanganaWarangal - TelanganaChittoor-Andhra PradeshGuntur - Andhra PradeshKadapa - Andhra PradeshKakinada - Andhra PradeshKurnool - Andhra PradeshRajahmundry - Andhra PradeshNellore - Andhra PradeshVijayawada - Andhra PradeshAndhra Pradesh-TirupatiVisakhapatnam - Andhra PradeshBhubaneswar - OdishaBasavanagudi-BengaluruIndira Nagar - BengaluruJP Nagar - BengaluruMalleshwaram - BengaluruWhitefield - BengaluruCalicut - KeralaTrivandrum - KeralaKaikhali - Kolkata - West BengalRash Behari Avenue - Kolkata - West BengalSiliguri - West Bengal * Preferred Date* DD slash MM slash YYYY * Hidden Old Preferred Date DD slash MM slash YYYY * Patient Type* * New Patient * Review Patient * Patient Number * Hidden Covid-19 Vaccine* * Yes, I need Covid-19 Vaccine * No, I dont need Covid-19 Vaccine * Comments * * Comments This field is for validation purposes and should be left unchanged. Δ X ENQUIRE * Name* * Email* * Phone* * Location* * * CAPTCHA * Name This field is for validation purposes and should be left unchanged. Δ X WE ARE LOCATED ACROSS 35+ CENTRES IN INDIA. LOCATE US FOR CONSULTATION States Andhra PradeshChennaiKarnatakaKeralaOdishaPuducherryTamil NaduTelanganaWest Bengal Cities Search X MAIN CENTRE ADDRESS No.6-B, Conran Smith Road, Near Satyam Cinemas, Gopalapuram, Chennai, Tamil Nadu 600086 Ph: 044 43968888 Email : appointments-gop@drmohans.com QUICK LINKS * Home Care * Diabetes Prevention * Diabetes Diet * Weight Loss * Stress Management * Precision Diabetes * Terms and conditions * Privacy Policy * Refunds and cancellation * Contact us LOCATE CLINICS * Clinics in Tamil Nadu * Clinics in Chennai * Clinics in Karnataka * Clinics in Andhra Pradesh * Clinics in Puducherry * Clinics in Odisha * Clinics in Kerala * Clinics in Hyderabad * Clinic in Kolkata CONNECT WITH US * * * * * Dr. Mohan's Diabetes Specialty Centre is among the best diabetes hospitals in India, offering top-notch diabetic care service and research for over 30 years. With diabetes centers located in Chennai, Bangalore, Hyderabad, Kerala, Kolkata, and many other cities across the country, the Centre has expanded its services to about 50 diabetes centers in 30 cities in India, providing excellent preventive and diagnostic diabetes care. Dr. Mohan's Diabetes Specialties Center has been ranked as the best and No.1 Diabetes Clinic in India seven times in a row by 'The Times of India (i3rc)' and 'The Week.' The Centre specializes in evidence-based treatment, personalized to each patient's genetic makeup, sugar control abilities, and food habits. Their mission is to prevent diabetes-related complications with the help of the best diabetologists in every center. The Center's expert diabetologists customize treatments by analyzing each patient's health condition and performing genetic testing as and when required. With the help of diabetes educators, dietitians, physiotherapists, and fitness specialists, the Center also provides preventive care to avoid diabetes-related complications. Dr. Mohan's Diabetes Specialty Centre offers a range of exclusive diabetes healthcare products and solutions to help patients manage diabetes and mitigate its complications. © Copyright 2024 Dr. Mohan's Diabetes Specialities Centre * Contact Us Designed & developed by DMDSC X Newsletter Signup * Subscriber Email* * Name This field is for validation purposes and should be left unchanged. Δ Call Now Notifications