Admission Form

Kripa Revival Centre

Whether the patient was admitted in any other de-addiction centre. :
Whether the patient had been treated in the past for mental illness : Yes.No.
General Medical History :



If patient on medication, give details :
Has the patient been convicted before? If yes, describe :
Any offenses/case presently ongoing in the courts :
Signature of the Admission in-charge :
Note:
a) We do not take the responsibility of the patient if proper medical history in not provided at the time of the admission.

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Highlights

Services Overview

Kripa Revival Centre (De- addiction & Rehabilitation) is an exclusive centre enabling those unfortunate incidental addicts to relinquish & lead an independent normal life which they had before developing dependency on drugs or alcohol.

Contact Us

Kripa Revival Centre
De-Addiction & Rehabilitation Centre for Men

Address:No. 1/1, Narayanswamy Building (Opp: Hyderabadi Bawarchi Resturant) Kempegowda Circle Kempegowda Main Road Dasarahalli, H.A. Farm Post Hebbal, Bangalore - 560 024..
Telephone:+91 80 64526462
E-mail: info@kriparevivalcentre.org