Grant Information

The Incredible Teddy Foundation provides financial support for medical travel, costs incurred with prolonged hospital stays, and other expenses associated with having a child with CDH that are not covered under health insurance.

Our organization provides grants to families of a baby born with CDH. These funds help to cover costs that are related to the CDH hospitalization that aren’t covered by health insurance (such as gas, tolls, parking fees, lodging, food, specialist co-pays, etc.).

Grant Eligibility:

Grants are limited to children born with CDH and their immediate families, or to expecting parents of a CDH newborn.

Grant Criteria:

Completion of the following application with contact information for the primary care physician, obstetrician, or pediatrician, whichever is applicable
Grants will be reviewed six times per year by the Board of Directors and subsequently awarded
Grants will be awarded as reimbursement for eligible expenses incurred
Applications must be submitted with receipts or invoices in order for grants to be awarded
Applicants must reside, or be treated within the United States

Housing Requests at Boston Children’s Hospital:

The Incredible Teddy Foundation provides funds for housing in the Patient-Family Housing program at Boston Children’s Hospital through Teddy’s Home Away from Home Fund. If requesting funds for housing costs at Boston Children’s Hospital, demonstration of an attempt to access Teddy’s Home Away from Home Fund must accompany this application. To learn more about how to access Teddy’s Home Away from Home Fund, please contact us here.

Apply for a Grant

Eligible applicants must provide the following:

Completed form: Authorization to Release Medical Information (download here).
Receipts for purchased items or vendor invoices.
Demonstration of an attempt to access Teddy’s Home Away from Home (if requesting funds for housing at Boston Children’s Hospital).

For assistance with the completion of this application, please see the social worker assigned to your case.

Personal Information	Patient's name (required)	Patient's Date of Birth or Due Date
Parent or guardian names (required)	Home address - city, state zip (required)	Hospital - including city and state (required)	Daytime phone (required)	Parent or guardian email (required)	What is the best way to contact you - phone, email, etc (required)
Health History	Briefly summarize the patient’s current health status with regard to CDH and any other diagnoses. Briefly summarize the patient’s current health status with regard to CDH and any other diagnoses (required)
Grant Request In order to receive a grant from the Incredible Teddy Foundation, the organization requires any of the following: receipts, vendor invoice Please answer the following questions: Indicate how the parent/guardian will meet the requirements for the grant: ReceiptsVendor Invoices Describe the item(s) for which the family is seeking funding or reimbursement. Describe the item(s) for which the family is seeking funding or reimbursement (required) In what ways will this assist the applicant or his/her immediate family? How is CDH having an impact on the family’s life? In what ways will this assist the applicant or his/her immediate family? How is CDH having an impact on the family’s life? (required) Have you applied for a grant from the Incredible Teddy Foundation in the past? If so, what is the status of that application? Have you applied for a grant from the Incredible Teddy Foundation in the past? If so, what is the status of that application? (required)	Grant amount requested Grant amount requested (required)
Parent or guardian signature (required)	Parent or guardian full name (required)	I understand that by typing my name and clicking on "Submit", I am electronically signing this document.	Physician full name (required)	Physician phone (required)	Please attach your Authorization to Release Medical Information, receipts, and/or vendor invoices here. Accepted file formats include pdf, jpeg, jpg, png, gif.

Grant Information

Grant Eligibility:

Grant Criteria:

Housing Requests at Boston Children’s Hospital:

Apply for a Grant

Personal Information

Health History

Grant Request

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