🏥 Care & Cure Medical Facility

Food Delivery Request Form

🛡️ Advanced Security: Rate limits • Phone validation • Domain check • Content filtering

⏰ Important Meal Timings:

* Breakfast request by 7:30 AM | Lunch by 12:30 PM | Dinner by 7:30 PM

* Requests made after these times will not be considered

* Emergency medical requests accepted anytime, but delivery may not be guaranteed

Use your real name (3-50 characters)
10 digits starting with 6, 7, 8, or 9
Describe your actual medical condition (3-100 characters)

📄 Upload Medical Prescription

Optional but helpful: Upload your doctor's prescription or medical certificate if available. This helps us verify your request quickly. Accepted formats: JPG, PNG, PDF (max 5MB).

Please Note: This upload is voluntary and helps us process your request faster. We may verify your medical condition through our internal records or ask you to visit our facility if no prescription is provided. Care & Cure reserves the right to approve or reject requests based on medical necessity, available resources, and facility guidelines.