NTX NODCC Grant Program
Community Assistance —
Individual Grant Application:
Therapy Services & Medical Equipment

Applications must be complete to be considered. Incomplete applications will be returned without consideration.
A complete application must include:
1. All questions on this form completely answered.
2. Documentation of diagnosis from a physician (MRI report, neurologist letter, or equivalent). A physician or therapist recommendation letter is required for therapy and equipment requests.
3. A copy of cost estimates for requested items/services: two written vendor quotes including shipping and handling, a catalog page, a fee schedule, or a service agreement.

Returned applications may be resubmitted once complete. Completed applications are reviewed quarterly — February, May, August, and November — and must be received by the 1st of that month. Families in North Texas will be prioritized; however, families throughout Texas and Oklahoma are encouraged to apply.

Questions? Contact: NORTHTEXAS@NODCC.ORG