Contact Us
Apply for Aid
Contact Us
Application Guidelines
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Requirements to apply for aid:
1. Child must be under the age of 18.
2. Child must have an official diagnosis recognized as a muscular disorder.
Application Instructions:
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Please copy the below application, fill entirely, and send to Anniesmiracle@outlook.com.
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1. Child's Name:
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2. Parent's Name:
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3. Parent's Address:
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4. Parent's Phone Number:
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5. Assistance Needed:
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6. Please submit proof of insurance claim/denial or letter from prescriber stating insurance denied treatment.
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7. Proof of Diagnosis (can be any documentation from medical provider showing diagnosis).
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8. Proof of income for last 30 days or tax return for previous year (preference to lower income families first)
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9. Please submit a letter from yourself explaining why the treatment is necessary or the funding needed and background.
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10. Please advise if you would be open to sharing a picture of your family/child for future use on the website.
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