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If you or your child are currently seeking assistance on the journey, you may contact us to see how we can help.

* Please Note*

-­‐‑ Our Board of Directors will meet monthly to discuss incoming requests.

-­‐‑ Please submit your request 6-­8 weeks in advance so we may have time to properly review your case and request. Exceptions may be made in emergency situations, on a case-­by-­case basis.

-­‐‑ We will ask for medical records and pertinent history to establish your need and focus our research.

-­‐‑ We do not provide monetary assistance directly to families or individuals.

 

Please complete the form below to request assistance: 

Request for Assistance
If you or your child are currently seeking assistance on the journey, you may contact us to see how we can help.
Let us know the type of assistance you are seeking for yourself or loved one. (Medical assistance, equipment, co-pays, therapy, etc)