To be completed by parents. The form can be completed by the child, if he is grown enough to complete some of the details himself/herself. Some sections are specifically only for the Mother.

Homeopathy, as a medicinal field, aims to look beyond the mere physical symptoms. It aims to correct the deeper inner disturbances. Unlike other systems of medicine, Homoeopathy does not look at the diseased person in parts, i.e. it does not give different medicines for headache and stomach-ache to the same person. Instead it gives one medicine for the whole individual. Also, no two persons are alike. Similarly, no two persons react alike in sickness. Though suffering from the same ailment, the symptoms of one person may differ completely from the symptoms of another. As a result, everything that sets apart the suffering individual from another person having the same complaint is studied and analysed. It is thus holistic and individualistic in nature restoring man’s health in body, mind and soul. A Homeopathic remedy is mainly selected based on the symptoms you (client / patient) give us. If we are to make a successful homeopathic remedy selection, we must know all the details of your sickness. We must also understand all the features that belong to you as an individual. This includes your reactions to various factors, your past and family history and your mental condition. All this information enables us for proper selection of the remedy. The state of mother during the pregnancy is one of the most important factors that help in understanding a child. All the physical and emotional changes experienced by woman during pregnancy cast a big influence on the child. During this period, the child himself has not seen the world, but he is feeling, perceiving or sensing it through his mother. Hence, it is essential to understand how the mother thinks, feels, perceives and senses herself in the pregnancy period and the world around her. This can be recognized by the smallest of change in the nature, behavior, unusual dreams, fears, thoughts, emotions of mother, any alteration in the desire or aversion for food substances, any particular illness during this period etc. The state of father during the period of conception is also at times significant to understand the constitution of the child. In such cases, we need to enquire about the father’s feelings/thoughts/sensations during the period when they were planning to have a child. Homeopathic medicines are helpful to children as they increase the resistance of an individual by boosting the immune system. Thus, they help the individual to fight against the diseases. Homeopathy treats children as a whole than just their symptoms. Each child has his own imaginary world, producer of his life. In order to find out all about you, we shall be asking you many questions. Each one of these questions has a definite meaning and significance for us. You must be free and frank, give us complete and true information on each point. Please read each question carefully, think and then answer completely. Do not keep anything back. Remember, whatever you tell us will remain absolutely confidential.

It is now universally acknowledged that your mind has tremendous influence on your body. For giving proper treatment it is necessary for us to understand your child’s emotional and intellectual nature. We can thus treat him or her as a whole. Answer them freely, carefully, and completely. This information will help us much in giving you the correct remedy. Also such a remedy will help improve your child’s mental makeup.