Has your family recently found itself in distress due to any of its members falling seriously ill? Good Angels are ready to help you. If you meet the criteria set out in the section Target Beneficiaries and How We Help Them, and fill in the form below (do not forget to provide your contact details) and leave a short message to us, we will contact you as soon as possible!

^{For the sake of personal data protection, kindly indicate your contact information only. Please do not fill in any contact information of the family or patient without their knowledge. If in doubt, do not hesitate to contact us at 733-119-119 or at [email protected]. Thank you for your understanding.}