AUsome Gavin & Friends Foundation is committed to serving all ALL children being diagnosed with Autism in our service area regardless of their race or ethnicity. The following information is collected solely for demographic purposes to help us better serve autism in our community and is NEVER used in the decision to provide aid.
If you were referred by your treatment provider's office (financial aid manager, case manager, etc.) please provide contact information for that person below:
PLEASE UPLOAD THE RESULT OF THE DIAGNOSIS
GRANT APPLICATION WILL NOT BE REVIEWED WITHOUT A SIGNATURE
I certify that the information I have provided in this application is true and accurate. I give permission for doctors and staff to provide information about my child's condition and treatment to AUsome Gavin & Friends Foundation.
Thanks for applying!
We’ll get back to you soon.