To apply for any of the options below, please complete all steps of the application process.

Financial Assistance

1. Custom garments

2. Bandaging supplies

3. Therapy sessions

4. Surgical procedures

5. Compression pumps

   ***Please note: A lymphedema diagnosis (and proof) is needed to be accepted as a recipient. Lymphatic malformation and vascular malformation cannot be the only diagnosis***

APPLICATION STEPS

1. Documents Needed (Upload in Questionnaire or Email admin@brylansfeat.org)

-Lymphedema Diagnosis from doctor

-3 to 5 photos of patient (at least one photo including face)

-Copy of insurance card (if applicable)

2. Completed Questionnaire (click below)

3. Completed Forms (click below)

-Waiver of Liability

-Photo/Info Release Form

-PT Disclosure Form

Please allow 3-5 business days once your application is completed for review.

During the months of June & July, please allow 7-10 business days.

Returning recipients do not need to reapply, please email brittany@brylansfeat.org