Patient Candidate
Prosthetic
Form
If you require prosthetics, please fill out the form below. The form is to be completed by the patient personally, and for children under 18 years of age, a legal representative should complete it.
Bear Grylls
“I am proud to be an Ambassador of Superhumans, a rehabilitation center that supports, helps, and restores your superheroes, veterans, men and women who have given so much for your beautiful country.”
Requirements for patients
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We only provide prosthetic services to Ukrainian citizens who can provide documents confirming their identity and Ukrainian citizenship.
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We accept military and civilian patients who are at least 18 years old.
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Children can be considered for treatment from 2 years old after the opening of the hospital ward (after 04.10.23) and must be accompanied by their parents.
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Consent to medical intervention provided by the Superhumans medical team is required.
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Patients must agree to follow the center’s schedule, attend psychologist sessions, and complete a rehabilitation course after prosthetic treatment.
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We do not accept patients with alcohol or drug addiction.
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Our center reserves the right to refuse treatment based on medical indications.