Financial Assistance Application

To apply for financial assistance for Medical Massage or Lymphedema Therapy, please complete the form below.

Once your application has been received, please allow one week to hear back from our funding department.

We look forward to helping you feel better!

FOR THOSE IN NEED OF MEDICAL MASSAGE, ANSWER THE FOLLOWING 4 QUESTIONS:

FOR THOSE IN NEED OF LYMPHEDEMA THERAPY, ANSWER THE FOLLOWING 4 QUESTIONS: