BF Special Grants Post .png — Let us help.

Be Fierce is now accepting applications to assist families with children affected by rare/undiagnosed conditions secure therapy or medical equipment and/or supplies that otherwise would not be covered by insurance. Examples include wheelchairs, ramps to home, therapy bikes, bath chairs, etc.
**To get started, fill out the form below.** The request will be reviewed by the Be Fierce team and we will contact you by email (don’t forget to check your spam folder!) to discuss the request in more detail.

Name

First and Last Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Please provide the best email address to contact you.

Phone

Best phone number to contact you

(###)

###

####

Describe how your child has been affected by a rare or undiagnosed condition.

May be asked for additional information.

Describe Assistance Needed

Please describe the the equipment, home improvement or supplies that you are requesting assistance for (wheelchairs, ramps, braces, etc.).

Approximate Cost

Provide estimate for the cost of the equipment, supplies or improvement.

Please indicate if you would be willing to share your family's story and how you have been affected by a rare or undiagnosed condition at a future Be Fierce event or on social media. The intent is to bring greater awareness about rare and undiagnosed conditions that affect Fierce Families.

Yes (now or in the future)

No thank you

Assistance with Medical and Therapy Needs

Operating in San Antonio, TX and St. Petersburg, FL