Program Application

How to Apply
Applicants can apply directly through our online form. Once submitted, our team reviews each request and matches eligible individuals with local providers based on need and location. All information is kept confidential, and we’re here to support applicants every step of the way.

Eligibility Requirements
To qualify, applicants must:

• Be under 18 years old at the time of application

• Demonstrate clear financial need

• Live in the local area or surrounding communities

• Show clinical need for selected care

• Be committed to attending all appointments and following treatment instructions

• Submit a complete application with all required documentation