Application For Assistance

We thank you for your interest in Tricia’s Hope.

Due to a large increase in applications for aid, we will be working on supporting as many patients as possible, but are currently prioritizing local (Indiana) recipients first before expanding outside our community.

Eligibility for Grant Applications

At Tricia’s Hope, we are committed to assisting those undergoing treatment by providing financial support through our grant program. To ensure the integrity and proper distribution of assistance, applications must be submitted under the following conditions:

  • Primary Applicant: The grant application must be completed and submitted by the patient receiving treatment.
  • Minor Applicants: If the patient is under the age of 18, a legal guardian is authorized to apply on their behalf.
  • Incapacitated Patients: If the patient is unable to apply due to incapacitation caused by their medical treatment, a designated primary caregiver may submit the application on their behalf.

By submitting an application, the applicant affirms that all provided information is accurate and truthful to the best of their knowledge. Tricia’s Hope reserves the right to verify the eligibility of applicants and request any necessary supporting documentation.

For any questions regarding eligibility or application requirements, please contact us.

Please complete this application and submit with written documentation of diagnosis.

Tricia’s Hope INC does not discriminate and awards grants to individuals in need based on available funds.