Important Note:

• If you are in a state of crisis or need immediate help for any reason, please pause filling out this form and call 102.
• If you feel that you are a danger to yourself, please pause filling out this form and contact the National Suicide Prevention Lifeline at 022 2754 6669.
• If you are unable to call Elite Care Foundation at (+91) 81692 40736/75064 13513 please use Email Id to send a confidential message to our admissions staff. We will respond as soon as possible.