Little Miss Hannah Foundation

Support for Families of Children Diagnosed with Rare, Life-Limiting, or Complex Medically Conditions. Childhood Rare Disease Advocacy.

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Equipment Grant Application

To submitted your completed equipment grant request, please submit the following:
Para enviar su solicitud de subvención para equipamiento cumplimentada, envíe lo siguiente:

Equipment Grant Application Submission

Child's Name / Nombre del niño(Required)
Name of Person Submitting / Nombre de la persona que lo presenta(Required)
Email / Correo electrónico(Required)
Accepted file types: pdf, doc, docx, Max. file size: 32 MB.
Be sure to include the 4-page grant form (signed), the letter of medical necessity, and the healthcare professional signed medical release. If your application does not contain all of these, it will not be considered. (Asegúrese de incluir el formulario de subvención de 4 páginas (firmado), la carta de necesidad médica y la autorización médica firmada por el profesional sanitario. Si su solicitud no contiene todos estos documentos, no se tendrá en cuenta.)