Submit Form
Dear Sir / Madam,
Thank you for filling up a Wellness Form. Your form does not get submitted to us just by clicking the “Submit” button. However, you need to email the form to Email ID: ashutosh@healthiance.com or share it on WhatsApp to WhatsApp number: +91 22 26630055.
Once you email / share the form we will get back to you in seven working days.
Dr. Pradhan
For Healthiance Quality of Living Clinic
Payment Successful
Payment Successful – Your payment has been processed successfully and we have received your order. We will process the order. Thank you!
Payment Failed
The payment you were about to make has failed due to some technical issue. Please re-initiate payment.
Payment Cancelled
You have canceled making payment, please re-initiate the payment.