Following are the steps required to request financial assistance from the Gateway Area Chapter:
- Please complete and sign the Financial Assistance Application, and return it in the enclosed pre-paid envelope. The information will help determine the amount of financial assistance we can provide and will be kept confidential.
- Please have your physician complete and verify the Multiple Sclerosis Diagnosis Confirmation Form and return it to our office.
- Should you need assistance with equipment, we require a prescription on a prescription pad or letterhead from a physician for the requested equipment.