Appointment request

Request an appointment

Share a few details and our staff will call you back to arrange a consultation at the chamber that suits you best.

Full name

Phone number

Include the country code if you are calling from abroad.

Email address (optional)

Preferred chamber

Preferred date & time (optional)

We will confirm the exact slot by phone after checking availability.

Reason for visit (optional)

Submitting this form sends an appointment request. It is not a confirmed time slot — our staff will contact you to agree the final date and time.

Selected chamber

Uttara Pain Clinic

House 7, Sector 7, Uttara Model Town, Dhaka 1230

Fri–Wed, 10:00 AM – 2:00 PM

+880 1700-333444

Your privacy

The details you share are used only to arrange this appointment and are never shared with anyone else.

Not for emergencies

This form is not monitored around the clock. In an emergency or if your pain is suddenly severe, contact your local emergency services immediately or call our pain relief helpline +880 1700-000000.

What happens next

1. Our staff reviews your request.
2. We call you to confirm a suitable date and time.
3. You receive the confirmed appointment details.