Code/Password The automatic approval code can be obtained from Handicare in person. You can submit this form without the code and we will try to review and approve your account within two business days.
Personal Information
Name
E-mail Address Your e-mail address is used as your login id. (Please see the staff at Handicare if you do not have an e-mail address.)
Password Your password must be at least 5 characters.
Password Confirmation Please enter your password a second time to confirm it.
Question This question is used in case you lose your password. What's your mother's maiden name? What's your favorite pet's name? What's your home town?
Answer This is the answer to the above question.
Birthday Your birthday is used for two purposes: 1) in case you lose your password and 2) to let other's in the Handicare family know when to celebrate!
Can we e-mail you with announcements? Occassionally, we use e-mail to send out announcements. We will NOT use e-mail for emergency purposes. Yes No
