Registration

Request support

Fill in the form to request a service. Our team will review the case and contact you to arrange an appointment or complete the file.

Request form

Fields marked with * required.

Do not fill this field

Name of the person concerned *

Phone *

Date of birth

Relationship

Address / Municipality

Type of disability

Requested service *

Has the case been followed up before?

Additional notes

I agree to the processing of this data solely to review my request.

Data is used only to review the request and provide support, and is never shared with third parties.

📄

If available: disability card, recent medical certificate, copy of the birth certificate, and the guardian's ID.

🧭

1) Form received · 2) Call to complete the information · 3) Assessment appointment · 4) Services and pathway defined.

🕒

Monday to Friday, 9:00 to 16:00. We recommend calling before visiting.