
Don't
wait a day longer. Get the medical assistance
your family needs!
Qualifications for Assistance:
1. Income insufficient to cover expenses without
causing hardship.
2. Functional limitations expected over the
lifetime of individual
3. Distance from medical facility (Over 100
miles)
4. Letter from Physician on official letterhead
stating necessity of said procedure
5. Letter from physician regarding the child’s
ability to travel by air without compromise
of health
6. Foundation will prioritize based on advice
from medical professionals (due to the sensitive
timing issues of this injury regarding certain
procedures, those patients with urgent needs
will be considered first)
Apply Now: Download
the Application and fax to (480) 123-4567