DSASG Medical Related Travel Expense Assistance Request
Parents or guardians of individuals with Down syndrome living in one of the counties served by DSASG are welcome to submit a request for assistance with some travel expenses due to medical care for the individual with Ds. Assistance for other medical needs will be added soon, suggestions are always welcome. Submission of requests does not guarantee approval. Requests will be evaluated by the DSASG Board of Directors and granted in accordance with guidelines set forth by the IRS for Private Foundations. Every effort will be made to grant assistance, so please do not hesitate to submit your request. Someone will reach out to you to get additional info needed in order to verify the request. Please send an email to info@dsasouthga.org if you have any questions, concerns, or suggestions. Our goal is to assist families to the greatest extent possible, so please submit your need below.
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Name of parent or guardian of individual with Ds who is submitting this request *
Name of individual with Ds *
County in which the individual with Ds resides *
Please briefly describe any need related to travel expenses for medical appointments for your loved one with Ds *
Date of upcoming appointment *
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Name of hospital or medical office to which you will be traveling *
Please provide any additional information pertinent to your request
What is your email address? *
What is the best way to contact you? Please include your phone number or email address *
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