Urgent Admission

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Medical Details		Admission Details		Treatment Cost

For Urgent Admission requirements, kindly fill out this form without delay. We will call back on priority (latest by 5 pm -Indian Time, on next working day) to help confirm your admission on priority basis.

A consultation and careful examination of patients medical reports is required before confirming your admission. Normally, it takes between 5 to 7 days to complete this process.

For Urgent Admissions, we try to complete the process within a day if full co-operation is obtained from patient side to complete the steps.
Patient Name *
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Who is the patient ? *
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Name of Person Filling this form
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Relation with patient
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whatsapp number of person filling the form
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Whatsapp Number
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Email *
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Details of the Medical Condition for which patient is seeking treatment: *
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Details of all Treatments and medications tried till now for the above medical condition *
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Outcome (Results obtained) from above treatments *
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Have you previously completed consultation with our doctors (Doctors of Matha) anytime before ? *
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when was the consultation completed ?
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What was the standing medical advice given to you during the above consultation from Doctors of Matha ?
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Kindly Upload latest medical reports
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Upload file

New patients are admitted (check-in) only between 8.30 am to 6.00 pm - Monday to Saturdays. We Do NOT allow admissions after 6.00 pm and also on Sundays. Are you willing to plan plan your arrival according to this schedule ? *
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Date on which you are planning to start treatment ?
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The number of days required will be informed to you after we obtain patients medical details
If pickup is required, kindly inform the details:
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Matha Operates 3 Hospital units in Trivandrum. To know more about the units, click here -> https://bit.ly/3UisJmg
Which Hospital Unit do you prefer ? *
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Click to know more about the Room Types available at each hospital unit ->

Moongode - https://bit.ly/45uuQFM
Kudappanakunnu - https://bit.ly/3rPCHQm
Eighteenth Stone - https://bit.ly/3tueUG9
Type of Room Preferred
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who all will be staying with patient ? *
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Any special requests or requirements that you want to convey regarding your room ?
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Click to get an idea of Treatment cost at Matha - https://bit.ly/4aSxgRK
Are you aware of the treatment costs at Matha *
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To process urgent admissions, patients are required to block the room by paying admission advance of Rs 10,000/- within day. We will send the payment link once you submit this form. Is it fine ? *
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Any additional matters that you want to convey ?
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Enquiry Source
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Form

Urgent Admissions & Priority Bookings Form