Request a Peer Visit

» También está disponible en español / Also available in Spanish

If you have had an amputation, are scheduled to have an amputation, were born with a limb difference, or are a parent, spouse or caregiver of a person with limb loss or limb difference, you may request a peer visit from one of our Certified Peer Visitors. If you are requesting a peer visit for someone other than yourself, you will first need to verify that the individual has consented to speak with one of our volunteers.

Online Form

We will make the best match according to the information you provide us, so please be as accurate as possible when filling out the form below. Please note that our Certified Peer Visitors do not provide in-home visits. If you prefer to make this request to us over the phone, please feel free to call us toll-free at 888/267-5669 between the hours of 8 a.m. and 5 p.m. Eastern time.