If you are a caregiver of a child who has a complex medical condition and would like complementary care services and support at home, please complete the grant application below. Applications are considered on an ongoing basis.
Upon receipt of the fully completed application, Eliana’s Light staff will review the application with decisions being communicated within 2 weeks of submission to both the patient and referring medical professional. The child’s medical or complementary care professional must review and co-sign the application to ensure coordination between medical and complementary care. Applications filled out by the patient or his/her caregiver alone will not be accepted. It is understood that the medical and/or complementary care professional is applying with and/or on behalf of the patient. To receive consideration, ALL SECTIONS MUST BE COMPLETED – NO EXCEPTIONS. ALL fields are required. The more information that is provided, the better we are able to support each patient and her/his family. Please submit the application online or by scanning/emailing it to Eliana’s Light: firstname.lastname@example.org. ** The release form at the end of the application must be signed and received by Eliana’s Light before the application can be considered. **