However you were referred to us, please, be prepared to provide some personal information
- Your name, your local phone, your local address,
- Help requests submitted by an advocate/HELPER requires contact information for the HELPER.
- Describe the history of what you have done to resolve this need before coming to us,
- What, if any, insurance do you have, what is your income, your relative need,
- Can you provide a state or county Access Coverage Entitlement or equivalent documentation of need (generally required for major expense help)?
- What is your recent employment history?
- Identify any prescribing doctor who you will allow to provide us insight into your needs
- Advise care provider you wish to release information to Lions Sight and Hearing representatives.
- If you have an existing estimate, be prepared to deliver hard or electronic copy of your estimate.
- Conservative requests are most likely to succeed.
You may provide your request for consideration by any of the following options:
- Fill in our Web Help Form. [Web Form PREFERRED, Gets best results] (PAGE 3) OR
- Download the below Excel sheet, OR
- Please, send a few paragraphs to lioneverett AT gmail <DOT> com
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Ĉ ď HL Everett Batey, Jul 22, 2009 4:10 PM
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