Do you suffer of acute Spinal Cord Injury?
How old are you?
What is your date of injury?
Where are you living?
How would you like to be contacted?
Please write down your mail address
Please write down your phone number
Your request has been sent successfully! We will contact you soon!
An error occured! Your request could not be processed.
Sorry, this might be an exclusion criterium.
Please contact us via e-mail in case of questions.