drjoline.com
Open in
urlscan Pro
172.67.173.99
Public Scan
Submitted URL: https://discoverycall.drjoline.com/
Effective URL: https://drjoline.com/views/contact.php
Submission: On December 16 via api from US — Scanned from DE
Effective URL: https://drjoline.com/views/contact.php
Submission: On December 16 via api from US — Scanned from DE
Form analysis
2 forms found in the DOMPOST ../0controllers/mail/mail-home.php
<form id="hform" action="../0controllers/mail/mail-home.php" method="post">
<div class="row g-3">
<div class="col-sm-12">
<div class="form-floating">
<input required="" name="name" type="text" class="form-control bg-light border-0" id="gname" placeholder="Gurdian Name">
<label for="gname">Your Name</label>
</div>
</div>
<div class="col-sm-6">
<div class="form-floating">
<input required="" name="email" type="email" class="form-control bg-light border-0" id="gmail" placeholder="Gurdian Email">
<label for="gmail">Your Email</label>
</div>
</div>
<div class="col-sm-6">
<div class="form-floating">
<input required="" name="phone" type="number" class="form-control bg-light border-0" id="phone" placeholder="Child Name">
<label for="cname">Mobile Number</label>
</div>
</div>
<div class="col-12">
<div class="form-floating">
<textarea name="message" class="form-control bg-light border-0" placeholder="Leave a message here" id="message" style="height: 100px"></textarea>
<label for="message">Message</label>
</div>
<h5 class=" text-center mb-5 pt-3">Please leave your contact details and Dr. Joline's Clinic will get back to you</h5>
</div>
<div class="form-status"></div>
<div class="col-12 text-center">
<button class="btn btn-primary py-3 px-4 text-black" type="submit">Submit Now</button>
</div>
</div>
</form>
POST ../0controllers/mail/mail-contact.php
<form id="contact-form" action="../0controllers/mail/mail-contact.php" method="post">
<div class="row g-3">
<div class="col-md-6">
<div class="form-floating">
<input required="" type="text" class="form-control" id="name" placeholder="Your Name" name="name">
<label for="name">Your Name</label>
</div>
</div>
<div class="col-md-6">
<div class="form-floating">
<input required="" type="email" class="form-control" id="email" placeholder="Your Email" name="email">
<label for="email">Your Email</label>
</div>
</div>
<div class="col-12">
<div class="form-floating">
<input type="text" class="form-control" id="phone" placeholder="Your Phone Number" name="phone">
<label for="phone">Your Phone Number</label>
</div>
</div>
<div class="col-12">
<div class="form-floating">
<textarea class="form-control" placeholder="Leave a message here" id="message" style="height: 100px" name="message"></textarea>
<label for="message">Your Suggestions,Queries</label>
</div>
<div id="success-message" style="display: none; color: #b6e9ea; margin-top: 20px;"> We will contact you shortly. </div>
</div>
<p class=" text-white " style="background-color:#b6e9ea ;color=black">
</p>
<div class="col-12">
<button class="btn btn-primary py-3 px-4" type="submit">Send Message</button>
</div>
</div>
</form>
Text Content
+91 97642 40528 clinic@drjoline.com Follow Us: Dr. Joline's Clinic Home About Us Services Programmes Explore Success Stories Collaborations Contact Us CONTACT US 1. Home 2. Contact OUR LOCATIONS DR. JOLINE'S CLINIC MARGAO MONDAY - SATURDAY 8:00 AM - 7:00 PM DR. JOLINE'S CLINIC PANAJI EVERY WEDNESDAY 3:00 PM - 6:00 PM DR. JOLINE'S CLINIC UK ONLINE CONSULTATIONS ONLY WANT TO LIVE A HEALTHIER LIFE, NATURALLY? SCHEDULE A DISCOVERY CONSULTATION ONLINE CONSULTATION ALSO AVAILABLE Your Name Your Email Mobile Number Message PLEASE LEAVE YOUR CONTACT DETAILS AND DR. JOLINE'S CLINIC WILL GET BACK TO YOU Submit Now Contact Us IF YOU HAVE ANY QUERIES OR SUGGESTIONS , PLEASE DROP US A MESSAGE AND WE'LL GET BACK TO YOU Your Name Your Email Your Phone Number Your Suggestions,Queries We will contact you shortly. Send Message WANT TO LIVE A HEALTHIER LIFE NATURALLY? Schedule a Session with us Call Now ABOUT DR. JOLINE FERNANDES Dr. Joline Fernandes: A Journey from Personal Struggles to Professional Dr. Joline’s Clinic, is a place where patients can experience the transformative power of natural health solutions. With a commitment to individualized care and innovative treatments, Dr. Joline Fernandes has helped her patients achieve amazing results through simple lifestyle changes. As a leader in the field of natural healing, Dr. Joline has over a decade of experience and a passion for empowering patients to take control of their health. Starting her practice in 2013, she has established clinics in Navelim (2016) and Margao (2018), Goa, and has since expanded her reach to consult with patients globally in the UAE, USA, and UK. From a young age, Dr. Joline was fascinated by how particular foods could trigger specific responses in her body. In her quest to understand natural healing of the body she has completed her Bachelor’s in Homeopathic Medicine & Surgery (Goa), Diploma in Nutrition & Health (Ahmedabad), Post Graduate Diploma in Hospital & Healthcare Management (Symbiosis, Pune), Post Graduate Diploma in Medico Legal Systems (Symbiosis, Pune), and Clinical Nutrition Therapy (Stroud, London). Her treatments give you one-on-one attention. She helps her clients to understand their unique body types. Post that, she works together with them to achieve their goals whether it is to lose weight, improve cholesterol, or balance their hormones, etc. No one diet fits all. She simplifies the diet for her clients. She believes in adding more local rather than exotic fruits and vegetables to her client’s diet. She treats patients with health issues including diabetes, hormonal imbalance, obesity, arthritis, cardio metabolic disorders, low immunity, gender-specific health issues, PCOD, infertility, thyroid-related disorders, gastric disorders, and stress among others. Close Phone: +9197642 40528 Email: clinic@drjoline.com Address: Ganesh Apts, Ground Floor, Shop No. 16, Opp. Jade Blue, Murida, Fatorda, Margao, Goa 403602. DR. JOLINE'S CLINIC INDIA - UK - USA - UAE Useful Links: FitNFab Sign-Up Pre Consultation Form Privacy Policy Refund Policy Terms & Conditions Patient History Call Contact Discovery Call Location Patient Recall Whatsapp © Copyright 2024 Dr. Joline's Clinic. All Rights Reserved Designed & Developed by DESS