Happy Hips Service Contact Form

Helping babies with hip dysplasia

Happy Hips Service Application Form

Do you want to request a Maxi-Cosi Opal HD? Request it directly through the application form below! Any question on our Happy Hips Service? Please use the normal Contact Form and select the subject "Happy Hips Service".!

Personal Information

Contact Information

Information on your baby

(Photo of your baby wearing the cast or brace or Hospital Letter)

General Information

Please specify make, model and year of manufacture