Apply for Assistance
If your family is affected by a TRIP12-related disorder or a related neurodevelopmental condition, we may be able to help.
Who is eligible
Financial assistance is available to individuals and families affected by the TRIP12 gene disorder or related neurodevelopmental conditions. Assistance is intended to relieve financial hardship related to medical, therapeutic, developmental, or safety needs. Applicants may live anywhere in the United States.
What can be covered
- Medical and specialist visits
- Occupational, physical, speech, or behavioral therapies
- Adaptive equipment and assistive technology
- Service animal placement or training costs
- Uncovered medical or therapeutic treatments
- Safety-related or developmental support items
How to apply
Applications are reviewed by our Board of Directors on a case-by-case basis, using established eligibility criteria and available funding.
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Prepare your application
Write a brief application that includes your contact information, a description of the assistance you're requesting, and the amount or estimated cost involved.
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Gather documentation
Include medical documentation confirming a qualifying diagnosis, documentation of financial need, and invoices, estimates, or receipts where applicable.
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Submit your application online
Use the application form below — it takes about five minutes. We'll reply with instructions for sending your supporting documents securely.
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Board review
Our board (or a designated review committee) reviews each application against established criteria. Approval requires a majority vote of disinterested directors.
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Payment to your provider
If approved, we pay providers, clinics, or vendors directly whenever possible. Reimbursements are available in limited situations with receipts.
Start your application
This first step doesn't require any documents — just tell us who you are and what you need. Please don't include medical records or financial details here; we'll follow up with secure instructions for those.