Donation Application

We know that living with, or caring for, someone with a long term medical condition can be a heavy financial burden. We are working to get our products approved under a reimbursable billing code, but until we do, we are offering donations of our products based on need and available funding. 

If you are in need of a donated product, please fill out the form below. Please include in your message your location and the hospital(s) at which the patient is treated.