We are not able to consider new requests for prosthetic limb grants at this time.  The questionnaire below has been temporarily de-activated while we address the requests we have already received.  Please check back in mid-March.  We hope to be able to consider new requests at that time.  

Complete the Prosthetic Grant Questionnaire



Use the form below for all other inquiries that do NOT relate to a request for financial help with a prosthetic limb.


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