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