Re-Mind Neuro Services – Doc Gautham's Neuro Centre

+91-9566133660

info@docgautham.com

4/68 P C Hostel Road, Chetpet, Chennai 600031

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+91-9566133660
info@docgautham.com
4/68 P C Hostel Road, Chetpet, Chennai 600031

Home
About Us
Reviews
Blog
- Causes
- Tips
- Mental Disorders
- Video
IAT
தமிழில்
Telemedicine
Contact us

Tips

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Tips to handle your Anxiety

Unrelenting doubts and fears can sap your emotional energy, send your anxiety levels soaring, and interfere with your daily life.

Tips to handle your Anxiety Read More »

Tips for better Mental Health

Get thirty minutes of cardiovascular exercise three times a week. Anything from walking to yoga to TaiChi offers many benefits for

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About US

Gauthamadas Udipi is a professor of psychiatry, specialist in Neuro Behavioural Medicine, an expert in psycho social interventions in disasters, educator, and renowned psychiatrist in Chennai, India.

Services

Medical Management
Hospital Short Stay
Senior Care
Psychological Testing
Counselling
Couples Therapy
Deaddiction
CBT

Contact

4/68 P C Hostel Road, Chetpet, Chennai 600031
info@docgautham.com
+91 95661 33660

This site is for educational purposes only. Nothing mentioned here should be construed as diagnostic or therapeutic advice.

2026 © All rights reserved.

Therapy

Name *

S/D/W of *

Gender *

DOB / Age *

ID *

Address *

Primary Mobile Number *

I have read the deals below and understand and approve them:

(1) Fees are non-refundable.
(2) Therapist's time is limited, valuable and cannot be wasted.
(3) The length of the test and psychotherapy will vary significantly depending on the person and the nature of the problem.
(4) It is difficult to pinpoint exactly how long it takes to experience relief with treatment.
(5) There are many factors that contribute to the improvement, including:
a. The nature of the problem (simple versus complex)
b. How long has the problem been an issue (chronic or chronic as opposed to recently developed).
c. How much support do you have from significant others (substantial and negligible)
d. How much work you do to solve the problem outside of treatment and the complete tasks given.
(6) The scheduled appointment can be rescheduled only if the notice was given 7 days in advance. Failure to do so within 7 days will result in forfeiture of the scheduled appointment and the charges thereof and I will have to pay for the extra sessions required due to the cancellation.
(7) If Doc Gautham's Neuro Centre requires to reschedule an appointment with me due to their operational reasons, I will not lose the fee for the session and I will not have to pay for the extra sessions due to the cancellation.
(8) Doc Gautham's Neuro Centre will make every effort to start our sessions on time. Sessions will end according to a pre-arranged schedule. If the session starts late, an attempt will be made to make up for the missed time in a mutually acceptable manner.
I have read the above / the above have been explained to me in my language and I agree with the policies and practices described therein.

Checkboxes *

I have read the above / the above has been explained to me in my language, and I understand the above and consent to participate in the evaluation and treatment offered to my ward and I will not hold Dr. Gauthamdas Udipi or his designee liable for any adverse outcomes of the medicines and treatment so received.

Date *

Consent for Ward

Name *

S/D/W of *

DOB / Age *

ID *

Address *

Primary Mobile Number

Secondary Mobile Number

I understand that:

(1) the type and extent of services that I will receive at Dr. Gautham’s Neuro Center will be determined following an initial assessment and discussion with me, my ward, and any other person(s), and may include lab, scans, and other investigations and reviews that the doctor determines as necessary to achieve the goal of determining the best course of treatment for my ward;

(2) only a limited evaluation may be possible when my ward is uncooperative or absent, and that any diagnosis and treatment is based on such limited examination may sometimes be erroneous;

(3)Typically, treatment is provided over the course of several weeks or longer and the duration depends on the progress of my ward and my cooperation;

(4) During the course of treatment it may be necessary for the doctor to communicate with others who may be required to provide more information or support for diagnosis and treatment;

(5) While medication and/or therapy may provide significant benefits, it may also pose some risks;

(6) My ward may require admission for treatment and agree for such admission to a hospital of Dr. Gautham’s choice;

(7) Medications and other treatments may have side effects and I accept responsibility for the same and will not hold Dr. Gauthamdas Udipi or his designee liable .

(8) Psychotherapy may elicit uncomfortable thoughts and feelings, or may lead to the recall of troubling memories

(9) I have to keep Dr. Gautham informed of any new symptoms that develop during the treatment so that the doctor can evaluate whether it is an effect or side effect and manage it accordingly.

(10) There may be some issues disclosed by my ward during consultation, and which may not be divulged to me in the interest of the well being of my ward.

(11) I understand that treatment package includes doctor’s consultation, medicines, counselling, therapy, and testing as required and by paying the charges I agree to them;

I have read the above / the above has been explained to me in my language, and I understand the above and consent to participate in the evaluation and treatment offered to my ward and I will not hold Dr. Gautham Das Udipi or his designee liable for any adverse outcomes of the medicines and treatment so received.

Checkboxes *

I have read the above / the above has been explained to me in my language, and I understand the above and consent to participate in the evaluation and treatment offered to my ward and I will not hold Dr. Gauthamdas Udipi or his designee liable for any adverse outcomes of the medicines and treatment so received.

Name *

Date *

Signature *

Clear Signature

CONSENT FOR ASSESSMENT AND TREATMENT OF WARD

Name *

S/D/W of *

DOB / Age *

ID *

Address *

Primary Mobile Number *

Secondary Mobile Number *

I understand that:

(1) the type and extent of services that I will receive at Dr. Gautham’s Neuro Center will be determined following an initial assessment and discussion with me and any other person(s), and include lab and other investigations and reviews that the doctor determines as necessary to achieve the goal of determining the best course of treatment for me;

(2) it is my responsibility to keep Dr. Gautham informed of any new symptoms that I develop during the treatment so that the doctor can evaluate whether it is an effect or side effect and manage it accordingly;

(3) I may require additional tests and therapies that I have to pay for;

(4) typically, treatment is provided over the course of several weeks or longer and the duration depends on my progress & cooperation;

(5) I understand that during the course of treatment it may be necessary for the doctor to communicate with others who may be required to provide more information or support for diagnosis and treatment and I agree to the same;

(6) while medication and/or psychotherapy may provide significant benefits, it may also pose some risks - Medications and other treatments may have side effect - Psychotherapy may elicit uncomfortable thoughts and feelings, or may lead to the recall of troubling memories;

(7) I may require admission for treatment which shall be mutually agreed upon and agree for such admission to a hospital of Dr. Gautham’s choice;

(8) I understand that treatment package includes doctor’s consultation, medicines, counselling, therapy, and testing as required and by paying the charges I agree to them;

I have read the above / the above has been explained to me in my language, and I understand the above and consent to participate in the evaluation and treatment offered to me by Dr. Gauthamadas.

Checkboxes *

I have read the above / the above has been explained to me in my language, and I understand the above and consent to participate in the evaluation and treatment offered to my ward and I will not hold Dr. Gauthamdas Udipi or his designee liable for any adverse outcomes of the medicines and treatment so received.

Date *

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This site is for educational purposes only. Nothing mentioned here should be construed as diagnostic or therapeutic advice. 2026 © All rights reserved.

This site is for educational purposes only. Nothing mentioned here should be construed as diagnostic or therapeutic advice.

2026 © All rights reserved.