Hand of Hope Experience Programme Registration


Thank you for your interest in our Hand of Hope! Please enter the information below. We will contact you upon the completion of the registration process.

Please note this programme is only available in Hong Kong.


1 User Information *Please fill in all the fields



Patient Name

Age

Height (cm)

Year of Stroke / Injury


Affected Hand


Can hand open and close actively?


Can hand open and close passively with assistance?


Can upper limb (elbow, arm, shoulder) move?


Can wrist turn around?


Contact Person Name

Contact Phone Number

Contact Email Address

How did you know about the Hand of Hope Experience Programme?

  


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2 Programme Details

Please contact us via calling our Hotline or WhatsApp at 9696 4832.



3Registration Complete