1. Request letter addressed to the Additional Director, Bengaluru for purchase of CPAD fluids.
2. Advise of Government nephrologist recommending CPAD and indicating the consumables (CPAD fluids and Y SET, Transfer set, Mini cap etc) required, along with the number(amount) of each item required every month.
3. Other relevant medical documents of beneficiary illness.
The permission is accorded for a period of six months.
a. Covering letter from Card holder.
b. Duly filled claim form and bank mandate form and other relevant documents.
c. Copy of CGHS card.
d. Bill/Receipt (original) indicating the details.
e. Paid proof.
f. The original or photocopy permission letter.
g. Utilisation certificate from the treating physician.