Healthcare Professionals

If you would like to refer a patient as an applicant to the foundation, please have them contact the foundation director through the website or by phone at (423) 622-9006.

The foundation prefers to deal directly with the parent(s) or guardians of the applicant. Documented financial need is required. You will be asked to complete part of the application along with the parents. The application also details the financial commitment of the foundation. If you would like to review the application first, please send us a request for a copy.

Each recipient may use the physicians and prosthetist of their choice provided they are approved and certified.

Providers, please fill out the form below to refer a patient