Grant Application - The Danny Did Foundation

Danny Did Foundation Grant Application for Assistance

Seizure Detection Device Recipient. Harrison

The Danny Did Foundation (“Foundation”) strives to assist individuals and families living with seizures. With an approved Request for Funding, the Foundation will provide monetary funding to the Grantee so they may gain access to a particular device or technology (“Device”) that the Grantee, in collaboration with the Grantee’s medical providers and professionals, independently deem appropriate. This money shall be defined as “Funds” and the spending of any Funds shall be at the sole discretion of the Grantee. The Foundation does not direct, limit, participate, or manage the decision-making or purchase of any specific Device.

While no Device has been proven to prevent epilepsy-related mortality (including SUDEP), the Danny Did Foundation is devoted to seeking out resources that may assist families living with epilepsy.

Unless noted, many device resources are consumer products and not medical devices. The Foundation encourages and strongly recommends communication with the manufacturer of any Device, as well as consultation with doctors and medical professionals about all available treatments, diets, medicines and medical devices to determine the possible efficacy and best options for all particular medical conditions. Please note, the Foundation does not warrant any Device, manufacturer, product, parts, medicine, diet, or treatment and is not a manufacturer, distributor, seller, representative, or broker of any product including products shown on its website. The Foundation offers only cursory and introductory information about the Device and the Grantee agrees that the Foundation shall not be responsible for the results and consequences of the use of the Funds to purchase any Device.

 

Grant Application Instructions

The person completing and signing this application must be an adult living with epilepsy who is seeking assistance, OR the parent/legal guardian or primary caregiver for the person with epilepsy who is seeking assistance. 

Before you begin the application, please review the Waiver and Release. (Click Here for Waiver and Release)

Grant Application Form

Name(Required)
Mailing Address(Required)
Sharing your demographic data will inform us about the diversity and inclusivity of our applicants and grantees*
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Neurologist's Address(Required)
Select One by placing your initials in the appropriate box:
HARDSHIP GRANT
HARDSHIP GRANT: I am unable to make a purchase for the epilepsy related resource I seek therefore I am requesting a hardship grant. If I am approved for funding, I agree to provide a receipt for the resource I purchase to the Danny Did Foundation within 14 days of receiving the grant check, or I will return the funds to the Danny Did Foundation. Send receipts to kgaughan@dannydid.org.
REIMBURSEMENT GRANT
REIMBURSEMENT GRANT: Danny Did will consider partial reimbursement for device purchases made in the last 30 days. I have already purchased the epilepsy device. I am seeking reimbursement and will provide receipt of purchase to the Danny Did Foundation to be considered for funding.
Max. file size: 50 MB.
Please read each statement below and place your initials in the box if you agree.
Max. file size: 50 MB.
Max. file size: 50 MB.

NOTE: The next two questions will not impact consideration for your application.

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Clear Signature
By signing above the applicant agrees to the Waiver and Release and that the information submitted in this application is true and accurate. The Danny Did Foundation cannot accept the Application for a Grant unless this box has been signed.
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This field is for validation purposes and should be left unchanged.