funding application

Noah's Never Ending Rainbow strives to assist families with Trisomy and related chromosome disorders in a plethora of ways keeping in mind that each family’s needs are different. While we will not be able to help in every situation, we try to do our best.

Things that Noah’s Never Ending can assist with include but are not limited to:

In-home care, respite and/or therapy
Alternative therapy such as therapeutic horse back riding
Special needs equipment such as a wheel chair, stroller, swing or bed along with their necessary accessories
Augmentative device
Formula and/or PediaSure if prescribed by a physician but not covered by medical insurance
Grave stone marker
Travel expenses to a Trisomy or related chromosome disorder conference such as the Support Organization for Trisomy 13 and 18 (SOFT) Conference

If you think you or someone you know might qualify for assistance from Noah's Never Ending Rainbow, please complete the request form. Please be specific as this will help with the review process. Pending the nature of your request, supporting documentation may be requested like a recent letter from the child's physician explaining medical necessity and/or a letter from a health care professional explaining how the child would benefit from the equipment and/or service you have requested as well as a letter of denial from the child's insurance provider, which states that the requested equipment and/or service was denied.

The Board of Directors reviews, and makes the decision on, requests for assistance as they are received.

child's full name *
age *
child's birthdate *
date of child's death (if applicable)
diagnosis and condition information *
parents' name *
street address *
city *
state *
zip *
phone *
email *
pediatrician name *
pediatrician phone *
item or service needed *
cost of item or service *
recommended by *
service provider or company name *
provider phone *
please tell us a little about your child and how the item or service you are requesting would help him or her. *
have you requested funding elsewhere and if so, what organization, foundation or entity? *
please indicate any special circumstances you feel are pertinent to this request or provide any further documentation pertaining to your child or the nature of this request
Please type the letters and numbers shown in the image.

Disclaimer: By awarding specific equipment and/or service funds, Noah's Never Ending Rainbow is making no recommendation as to the appropriateness or safety of a particular piece of equipment, for each applicant. The Board of Noah's Never Ending Rainbow is not responsible for the safety and use of the equipment or progress of the child. Each family is strongly urged to consult with their physician and therapist regarding the choice and use of specific equipment.