Patient registration

Register for free support

Fill this form and our team will contact you within 24 hours to guide you through financial aid, treatment support, and all available services.

Personal details
Address
Medical information
Financial information
(Helps us match you to the right scheme)
Bank account details
Required for direct fund transfer if financial aid is approved
Upload documents
PDF, JPG or PNG — max 5MB each. Upload what you have; missing documents can be submitted later.
Patient's Aadhaar card (front & back)
Any family member's Aadhaar
Letter from treating oncologist
Cost estimate from hospital
Income certificate or BPL card or ration card
Shows account number and holder name
Your information is safe. All details you provide are kept strictly confidential and used only to connect you with the right support services. We will never share your information with third parties.
Or call +91 82470 94634  ·  WhatsApp us

Questions & answers

Frequently asked questions

How do I register as a patient?
Fill the registration form on this page with your personal, medical, and financial details, or call/WhatsApp us on +91 82470 94634 and we will help you register.
Does registration cost anything?
No. Registration and all patient support services are completely free.
What happens after I register?
Our team reviews your details and contacts you to guide you through financial aid, treatment support, and any services you need.
What documents do I need?
Basic identity and medical documents help us assess your case and apply for schemes on your behalf. Our team will tell you exactly what is needed for your situation.