REPORT on the Child's Treatment for Helpster
Use this form to send information regarding children's finished treatment to Helpster
Use this form to send information regarding children's finished treatment to Helpster
Country
*
Volunteer's name
*
Child's First Name
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Child's Last name
*
Child's Age
*
Hospital (if known)
Where the child lives? (region)
Health Issue
*
Child's story
*
Parents and their contacts
*
Cost of treatment (if known)
Volunteer's Comment
Is it an Urgent case?
Parents signed consents
Submit case
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