Infirmary Admissions

Admission Criteria

  1. Referred by an NGO/ Government Hospital
  2. Interview by Social Worker
  3. No Active medical treatment will be provided at the Infirmary
  4. Must be accompanied by an attendant
  5. Duration of stay – Maximum 3 months
  6. No Communicable disease as quarantine facilities not available

Admission Form

    Name of the Patient

    Age

    Sex

    Referred By Ngo / Government Hospital

    Address

    Contact Number

    Educational Qualification

    Occupation

    Family Income

    Contact in Mumbai

    Diagnosis

    Treating At This Hospital Since

    Treatment Required

    Duration Of The Treatment

    Date of admission requested

    Date of discharge

    Family Support

    YesNo

    Primary Caregiver

    Relation With Patient