其它健康咨询表


请回答以下问题以便李医生了解你的病情.**

姓名:

 

病人姓名(如不同)

 

电子邮件地址:

 

电子邮件地址(认证):

手机号码 (可选):

性别:

年龄:

体重:

(公斤)

进一步的病情:

如果您认为有帮助, 您可以上传照片给李医生:

**Even though we have herbal Doctors ready to answer your questions, we can not provide medical advise on-line. Your medical doctor who knows your clinical history is the only person qualified to give you medical advise. We can only guide your use of our product and let you know how our product may be able to benefit your personal case.