Request a Caregiver / Patient Attendant

Requester Details

We'll send a one-time code to verify your mobile number. Already started? Verify the same number to continue where you left off.

Mobile number *

+91

Verified

Patient Details

Patient Condition

Care & Skills Needed

Care Location

Where is care required? *

State / UT *

District *

City / Town *

PIN code *

Area / locality *

Full service address

Required before a caregiver is deployed.

Hospital information

Hospital name *

Hospital address *

Department / ward *

Room / bed number

Treating doctor

Hospital contact number

Does the hospital permit an external caregiver? *

Deployment always remains subject to hospital rules and permission.

Shift & Duration

Caregiver Preferences

Budget & Payment

Expected budget (₹) *

Budget is *

Budget flexibility *

Payment preference *

No payment now. Before you confirm, we will clearly show the caregiver remuneration, any service/administration charges and applicable taxes.

Medical Information

Primary diagnosis / condition *

Current treatment situation *

Doctor's instructions relevant to the caregiver

Important precautions

Relevant medical documents

Choose file or drag it here
JPG, JPEG, PNG, PDF · up to 5 MB

Discharge summary, care instructions, physiotherapy programme or a relevant report. Upload only what is needed for the care service.

Emergency contact

Emergency contact name *

Relationship *

Mobile number *

Alternate mobile

In an emergency, whom should the caregiver contact first? *

Their contact number *

Declaration & Submit

Patient safety declaration *

I have provided information that is accurate to the best of my knowledge. I understand that Anandita Foundation may contact me to clarify the patient's condition. I understand that caregiver services do not replace medical treatment, nursing care or emergency medical services unless the assigned professional is appropriately qualified and authorised. I will not expect a caregiver to perform tasks outside the caregiver's verified qualification and approved scope. I will inform Anandita Foundation if the patient's medical condition materially changes. I understand that specialised/high-dependency requirements may require additional assessment before assignment.

Family / requester consent *

I authorise Anandita Foundation to use the information provided to identify and coordinate an appropriate caregiver/service. I agree that relevant patient-care information may be shared with a prospective caregiver only to the extent reasonably necessary for safe delivery of the requested service. I understand that Anandita Foundation may contact me regarding service coordination, payment, feedback, safety and assignment-related matters.

Care that feels like family.

Requester Details

Patient Details

Patient Condition

Care & Skills Needed

Clinical / medical support

ICU / high-dependency

Physiotherapy / rehabilitation

Caregiver required