Contact Us

If you are a family seeking financial assistance for medical-related travel expenses due to your child’s serious illness or injuries, please download our application form, fill it out, and submit it according to the included instructions. Please note that our service area is limited to families whose main residence is in the Midwest states. This includes North Dakota, South Dakota, Nebraska, Kansas, Minnesota, Iowa, Missouri, Arkansas, Wisconsin, Illinois, Michigan, Indiana, and Ohio. We assist children age birth through 18 years old.

Application (Word Document)
Application (PDF Document)


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