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Request for Individual Assistance

This section is designed so that children's hospitals and departments can tell us about their real needs.

 

If you need medical equipment or functional space arrangement that directly affects the conditions of treatment and stay of children, you can leave a request in this form.

 

The form helps us gather basic information about the need and better understand the request. We carefully review each application and work with them within the fund's capabilities.

 

After receiving the request, the foundation team will contact you to confirm receipt, clarify details, and discuss next steps.

 

We strive to stay in touch and support the hospital or department at every stage of this process. If there is a need, it is important to mention it. This section is for this very purpose.

Request form

About you

What is your relationship to the child?

About the child

The essence of the appeal

Documents

Attach files (if possible):

  • medical reports

  • bills

Feedback

Convenient way to communicate

The Foundation does not provide medical advice and cannot help in every case, but we carefully consider all applications.

After receiving your request, we will contact you to clarify the details and provide guidance on further steps.

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