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 cfreachout@gmail.com, or mail them to CF Care Fund, PO Box 67, Mendham NJ 07945. 

 

Rules and Limits

 
 
 
 
 
 

Forms

  • 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.