APPLY

THE FOLLOWING INFORMATION/DOCUMENTS ARE NEEDED TO COMPLETE THE APPLICATION PROCESS...

 

 

• Completed questionnaire

 

• Written diagnosis

 

• Copy of household proof of income (i.e. W2, 1099 or tax return)

 

FORMS ONCE ACCEPTED

 

Waiver of Liability

 

Photo/Info Release Form

 

Ninjas Fighting Lymphedema Foundation is a 501(c)3 organization.