Make a Request

We like to keep things simple. You can apply for assistance, no matter where you live, if you are age 12-29. To apply, print out the two forms below and fill them out completely; please don’t leave any blank spaces. Then either scan and email the forms back to us at, or mail them to CF Care Fund, PO Box 67, Mendham NJ 07945. 


Rules and Limits



  • Please provide written proof—an insurance Explanation of Benefits or coverage description, for example—that your need is not covered or only partially covered by insurance.

  • You can apply for assistance for up to the full cost of a portable nebulizer or acapella, one per individual.

  • You can apply for up to $500 per year for counseling sessions.

  • We are happy to consider your other requests on a case by case basis.