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Support Services Form

Travel Scholarships Are Open!

Welcome to Our Community!

We're so glad you found us! 

Our mission is to enrich the lives of children with a brain injury and provide hope to their families through support and education. 

To qualify for support, your child must meet the following criteria: 

  • The child must be 18 years or younger.
  • The child must have an acquired brain injury.
  • The child must be a US citizen or have permanent residency in the US.

For emergency needs, please email ronda@teamlukehopeforminds.org


We're Here to Help

Please complete this form to help us understand your family's unique needs and how we can best support you, and a member from our Family Support Services Team will reach out to you! 

Your Contact Information

First Name *
Last Name *
+ Country Code
Country
Address Line 1
City
State/Province
Postal Code

 

Describe Your Situation

First Name *
Last Name *
Month
/
Day
/
Year
Month
/
Day
/
Year

*This information will be used when we apply for grants.

 

How can we help you? 

Health Benefits Advocacy 

Emergency Support Services

Parent 2 Parent Connections

Informational Tools

Community Resources

Behavioral Health and Wellbeing

School-Related Support

Support Groups/Virtual Support Groups

Please indicate the support groups you are interested in joining:

Please note: This form is not an application for financial assistance, and submitting it does not guarantee funding. Our Support Services team will be in touch to provide you with additional resources and support!

Our Financial Assistance Application opens periodically. Please check back on the 1st and 15th of every month for that application, which is different from this form. If our financial application is open, it will be the first page under the "Get Support" tab, titled "Financial Assistance Application." 

For emergency needs, please email ronda@teamlukehopeforminds.org

Making a meaningful difference in the pediatric brain injury community!

  • States Served

    47

Thank you to our generous sponsors:

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