Healing is a journey — you don’t have to walk it alone.

Name

Email Address

Phone Number

Preferred Method of Contact Preferred Method of ContactPhone CallWhatsAppEmailText Message

What kind of support are you looking for? What kind of support are you looking for? Emotional Support Prayer / Spiritual Care Finding the Right Surgeon Pre-Surgery Consultation Support Chaperone to Appointments Help Organising the Surgery Journey Aftercare or Recovery Support

Tell us briefly about your upcoming surgery or health journey.(you can share as little or as much as you feel comfortable with.)

Do you have a surgery date yet? Do you have a surgery date yet?YesNot yet booked

Have you already chosen a surgeon or hospital? Have you already chosen a surgeon or hospital?YesNoI need help finding one

Enter surgery date

Where will your surgery take place?

Do you have someone supporting you (family, friend, partner)? Do you have someone supporting you (family, friend, partner)?YesNoI need full support

How did you hear about Tibora? How did you hear about Tibora?InstagramTikTokA friendGoogleOther

Anything else you’d like us to know before we speak? 🕊️ Share any details, questions, or concerns here.