Request a SIM Toolkit

A free educational and supportive movement kit for qualifying families of children with HIE. Tell us where to send it.

What happens next

Four simple steps.

Fill out the short form below with your details and shipping address.

The toolkit is for children diagnosed with HIE at birth.

We hold a short orientation and confirm eligibility.

We assemble your kit and ship it to you, anywhere in the world.

Your request

Fields marked are required.

Your information

First name

Last name

Email address

Phone number

Who is requesting the toolkit?

About your child

Child’s first name

Child’s last name

Date of birth

Has your child been diagnosed with HIE (hypoxic-ischemic encephalopathy)?

The SIM Toolkit is designed for families of children with HIE. We will confirm this with you as part of our review.

Where should we ship the toolkit?

Shipping address

Full name, street address, city, state or province, postal code, and country.

Anything you’d like us to know (optional)

SIM Toolkits are only for children diagnosed with HIE (hypoxic-ischemic encephalopathy) at birth. I confirm my child was diagnosed with HIE at birth.