Patient Grant Program

Program Overview

The ALS Association Greater New York Chapter understands the financial burden that a diagnosis of ALS can cause and we are pleased to be able to offer a limited number of financial grants of UP TO $2,000 for patients diagnosed with ALS who are registered with the Chapter and whose primary residence is within the Chapter’s territory. Please read the following information, which outlines the grant program before submitting the grant application form. Applicants are encouraged to discuss the grant program with their Chapter Care Coordinator prior to submitting paperwork.

• Grant applicants AND recipients MUST be registered with the Chapter in order to be approved.
• Families are eligible for ONE grant per calendar year.
• Grant requests in excess of $2,000 will not be approved.
• All requests are subject to the availability of funds at the time of submission.
• Only expenses that are not covered by insurance or other sources will be considered.

• Respite/Home Health Care
• Prescription Copays
• Durable Medical Equipment
• Home Modifications, Safety & Accessibility Items

• This is a reimbursement grant program. In limited, pre-approved cases, payment may be made directly to a vendor. In the case of direct payment to vendor, invoice with exact pricing must be included.
• Grants will be distributed during two periods annually:
  • July 15^th deadline with receipts dated between January 16^th – July 15^th
  • January 15^th deadline with receipts dated between July 16^th – January 15^th
• To apply for a grant, the completed Request for Funds form and, if applicable, the Respite Provider Log must be submitted together with copies of corresponding receipts.

All applicants should consult with their Chapter Care Coordinator prior to submitting a grant application. If you have any questions about any of the materials or requirements, please contact:

Catherine Rost
Care Services Administrative Coordinator
crost@als-ny.org or 212-720-3059.