INFO ABOUT YOUR SURGERY
The questions below regarding savings, health insurance coverage, or your preferred surgeon will not impact your likelihood to receive funding. We ask these questions in case we are able to connect you with other resources and opportunities. Please answer as honestly as you can.
DEMOGRAPHIC INFO
The demographic info collected in this section helps us identify additional grant and partnership opportunities, and better serve our applicants and community in the future. Your responses will not affect your eligibility. It is for statistical use only.