Dear User,

Thank you for your interest in our services. We’re excited to have you on board!

To proceed with your request, we kindly ask you to complete the form provided. Once you have filled out all the required information and submitted the form, you will be redirected to our secure payment page supported by RazorPay.

RazorPay is a trusted and reliable payment gateway that ensures the safety and confidentiality of your financial transactions. It offers a seamless and user-friendly experience, allowing you to make secure payments using various payment methods.

On the payment page, you will be presented with the necessary details related to your purchase, including the total amount due and available payment options. Simply follow the instructions provided on the page to complete your payment and finalize your order.

Please be assured that your personal and financial information will be handled with utmost care and in accordance with applicable data protection regulations. We prioritize the security and privacy of our users, and RazorPay’s robust payment infrastructure aligns with our commitment to providing a secure online environment.

Should you encounter any issues during the payment process or have any questions, our dedicated support team is available to assist you. Feel free to reach out to us via +91-9591989220 for prompt assistance.

Thank you for choosing our services, and we look forward to serving you!

Best regards,

Asthithwa Health and Wellbeing Pvt. Ltd.

Appointment Booking Form

Note: By submitting your details below and making a payment, you agree to 
Terms and Conditions | Privacy Policy | Cancellation and Refund Policy | Shipping and Exchange Policy

Please enable JavaScript in your browser to complete this form.
Agreement