Get Help

Request Assistance

Artificial limb • Wheelchair • Walking stick / cane • Crutches • Walker / walking frame

If you or someone in your family needs a mobility device, please fill in this form. Our team verifies every request in person and contacts you directly. There is no fee of any kind.

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What happens next?

1

You submit this form

You receive a reference number immediately.

2

We verify your case

Our team calls you and, where needed, visits in person.

3

Measurement & fitting

For limbs and devices, you are measured and the device is prepared for you.

4

Free handover

Your device is handed over free of charge, with rehabilitation support.

HHFP never charges a fee

All our assistance is completely free. If anyone asks you for money in our name, please report it to us immediately.

Assistance request form

Fields marked with * are required.

1Personal information

If you provide an email, we will also email you your reference number.

2Disability details

You can select more than one.

3Household & support information
4Documents
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5Declaration

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