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    Detachable Laser Indicator Trial Programme Form



    Trial Period3 months (renewal can be applied for)
    Materials

    Each service unit will receive:

    • Two Detachable Laser Indicators
    • Instruction manual
    How to use
    • Attach the "Detachable Laser Indicator" to the user's mobility aid, such as a cane or walker, to allow the user to conduct walking training.
    Procedure
    1. Complete and submit the online application form.

    2. Selected organizations will receive a notification email of successful application.

    • If many organizations meet the trial activity requirements, the project team will select the most suitable organizations to participate in the trial first.
    • Organizations not selected will automatically be included in the next round of selection and do not need to reapply.
    • The trial activity will continue to be implemented; organizations that have not received a successful application notification, please wait patiently.
    Notes
    • Each application can only cover one designated elderly care unit/organization.
    • Applications with incomplete information or insufficient required details will not be processed.
    • Please provide all application details in the form to facilitate follow-up by the project team.
    • The information provided in the application form will determine your organization's priority for the trial activity.
    • If additional information is needed, the "Jockey Club Smart Age Hub" project team will contact your organization's representative.
    • All applications must be submitted via the online application form; applications submitted by other means will not be accepted.
    • The project team reserves the final right to decide on participation in this trial activity.

    A. Organization / Service Unit Introduction

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    Miss
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    B. Details for Participation in the "Detachable Laser Indicator" Trial

    Entire Organization Total Number of People

    Entire Organization Number of People Currently Using Doll Therapy

    Number of Service Users Participating in Trial Activities

    Elderly with Weaker Lower Limbs

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    Parkinson's Disease Patients

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    Cognitive Impairment

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    Stroke Patients / Recoverers

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    If not applicable, please enter "0"


    C. Promotion and Others


    *All fields are mandatory

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