To qualify:

1. Include a letter or prescription from the applicant’s doctor confirming the need for the requested assistive device or therapy.
2. A copy of parent(s)/guardian(s) most recent Income Tax Return (IRS Form 1040) with copies of all supporting W-2 forms. For your security all information is confidential and treated with the utmost sensitivity. Please black out your social security number. All documents will be shredded once a decision has been made.
3. Letter of denial from parent(s)/guardian(s) insurance company.
4. Your application will be valid one year from its submission date.
5. Incomplete applications will not be accepted. If denied, Suzy Foundationwill review your application throughout the year.
6. Suzy Foundation considers each applicant on an individual basis.
7. Please mail completed application to Suzy Foundation, P.O. BOX 24877, Tempe, AZ 85285 or submit via email.
8. Must reside in the Phoenix/Metropolitan area
9. Please be advised that the Suzy Foundation will directly purchase the assistive device or therapy for the applicant. Suzy Foundation will NOT reimburse services rendered or devices previously purchased. Please include all of the necessary purchasing information.