Medical Information about Hujjaaj that will help us help you....!

Please note that is information will remain STRICTLY confidential and only the doctor himself will have access to this information. We will also ensure that it will be completely discarded (so it will not be used or accessed again) after the Hajj trip.

Question Title

* 1. Please input your following details

Question Title

* 2. Please list any chronic medication you are on below (medication that you have to take for any chronic illness like hypertension, asthma, eczema, diabetes, high cholesterol, heart problems, epilepsy etc)

Question Title

* 3. Are you allergic to any medication, if so please state the same below

Question Title

* 4. If you have undergone any recent surgery please list it below (in the last 3 months)

Question Title

* 5. Please confirm that you are uptodate with the following vaccines

T