Forms

We have provided both fillable and printable forms.

For those who wish to type the form: be sure to download the fillable form to .pdf software before filling out. 

For amputees who have reviewed our Get Help page and FAQs, please download and submit this form:

For those who wish to donate prosthetic parts and have reviewed our Guidelines, please download and submit this form: 

For clinic partners seeking specific components and prosthetic parts, please download and submit this form:

ABOUT US >

We are a global nonprofit organization dedicated to providing fully-functional prosthetic care for individuals who cannot otherwise afford it and raising awareness of the challenges facing amputees. 

We're here to listen. We're here to help. We're here to connect you with the resources you need. 

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Let's connect! 

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CONTACT  >

Toll Free: 1-888-235-5462

Local: 405-843-5174

Email: admin@limbsforlife.org

Address: 9604 N. May Avenue

Oklahoma City, OK 73120