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We are still here and able to provide custom-made equipment free of charge.

Get help from Remap

Please note that we are running a reduced service due to the current COVID-19 outbreak and you may experience delays. More information

In completing this form you agree to providing information which will be used in accordance with Remap’s Privacy Policy.

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Details about the person needing help



Help Needed

Please tell us more about the help you need. Include as much detail as you can. If you are filling in this form for someone else, please answer the questions as they apply to that person. 

What would you like to be able to do? What is currently preventing you? What have you already tried (if anything)?
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Do you have a formal diagnosis which you can share with us? How does your health impact on your ability to do things? How might your condition affect the way you use their equipment?

Who should be present during a home visit? Are there any days or times we should try to avoid? Are there any practicalities or risks which our volunteers should be aware of?

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