top of page

Apply For Support

If you or a member of your family is suffering with complex heath challenges and you need support, please fill out this application.

3-Step Application

1

2

3

Application Form

Authorization Form

Submit

What We Offer

  • Help locate resources and medical providers for families.

  • Help with communication devices, and noise-cancelling headphones.

  • Restaurant gift cards, gas cards, hotel vouchers, and help with utilities for families whose children are in local hospitals or being treated at local facilities.

  • Treatment Funding for families (this is something that will be reviewed closely by a medical professional and the requesting physician to determine whether or not we are the best foundation to help). 

  • Adaptive birthday parties for children with neuro, developmental, behavioral and complex needs. 

bottom of page