We're Here to Help You

If you or someone you know lives with a disability and needs support, please fill in the form below. Our team will review your request and connect you with the right programme or resource.

Free of charge

Confidential

Response within 3–5 days

Personal Information

Your contact details so we can reach you

Full Name *

Email Address *

Phone Number *

Age Group *

Location

Helps us route you to nearby services

State of Residence *

LGA / Local Area (optional)

About Your Disability

All information is kept strictly confidential

Nature of Disability / Condition *

Type(s) of Assistance Needed *

Medical & Healthcare SupportEducational & Skill TrainingMobility & Physical AidsPsychological / Counselling SupportEconomic Empowerment / LivelihoodSocial Inclusion & CommunityLegal & Rights AdvocacyOther

Additional Details

Help us reach you the right way

Preferred Contact Method *

EmailPhoneWhatsApp

Any Additional Information (optional)

By submitting this form, you consent to SISAP storing and using your information solely for the purpose of providing assistance.

Empowering Ability.
Enabling Inclusion.

We are dedicated to creating a world where every specially-abled person has equal access to opportunities, education, and resources to thrive independently.

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19 Sholawon Street, Opposite New PHCN, Igbogbo, Ikorodu, Lagos State

info@sisap.org.ng

07063732454

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