More Than Walking - Help Request
At More Than Walking, we do our best to connect those who need various forms of community support with established local organizations and peer mentors within our network. More Than Walking Incorporated does not provide direct financial support, but can refer you to other organizations that can. Please name specific mentors, if you are responding to a published video with a question, as we will forward your message and e-mail that person so they can respond, either directly or forwarded through
Email *
What is the best way to contact you? *
How did you hear about More Than Walking? *
Your First Name *
Your last name *
Your birthdate *
Your relationship to the person needing support *
Name or Initials of person needing support (if not you)
Age of person needing support (if not you)
Specific spinal cord injury level or disability *
If spinal cord injury, is it complete or incomplete?
Description of function and sensation
Approximate date of injury / disability *
Critical care, inpatient, and outpatient hospitals where person needing support has been treated for their disability
What is the topic of your request? *
What support is needed? *
If applicable, name a particular peer mentor you would like to contact.
Your phone number (xxx) xxx-xxxx *
Street Address
City *
State / Province *
Postal Code
Country *
​More Than Walking Incorporated does not certify peer mentors and does not conduct background checks on those who volunteer to share stories on videos it produces. None of the information provided in More Than Walking's communications with you should be considered medical advice. You communicate with More Than Walking's mentor contacts at your own risk and discretion. By submitting the form below, you give us permission to contact you regarding your request, share details of your request and your contact information to partnered advocacy organizations in your area, and add you to our e-mail newsletter. ​
I am over 18 years old and I acknowledge the above disclaimer. *
If not over 18, what is the best email & phone number to contact your parent/guardian?
A copy of your responses will be emailed to the address you provided.
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