To qualify for financial assistance from the Sammy Gelband Foundation:
Applicant must apply through a Social Worker from their healthcare facility.
Child must be five years of age or younger at the time of application.
Child must have at least one parent who is a U.S. citizen.
A licensed medical professional must provide both a diagnosis and the child’s current health condition.
Families must have financial needs as a result of their child’s illness.
The application must be fully completed.
Healthcare providers can email info@sam.codpixels.com for an online link to our application.
Please begin the application process for financial assistance by completing the form below. We look forward to hearing from you.
I am interested in financial assistance for my family.I am a social worker/medical professional interested in financial assistance for a patient.