Do you need a customised aid?

       

How to get an aid

Do you need TADACT's assistance in creating or modifying a piece of equipment? Then please fill out the below form and someone from TADACT will contact you as soon as possible.

Contact Person
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Address *		this field is required
Phone Number *		this field is required
Mobile
Email
Recipient's Contacts
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Address *		this field is required
Phone Number *		this field is required
Mobile
Email
Referral's Contacts (Health Professional such as an Occupational Therapist)
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Address *		this field is required
Phone Number *		this field is required
Mobile
Email
How can TADACT help you? *
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Do you have any possible solution? *
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Any further comments?