The Thomas P. and Sondra D. Sheehan Charitable Foundation

2024 Medical Assistance Grant Application

The Thomas P. and Sondra D. Sheehan Charitable Foundation is dedicated to providing medical assistance to families who are in financial need of support. The Sheehan Charitable Foundation encourages the development of children and seeks to remove financial barriers by providing assistance for durable medical equipment needs, occupational and physical therapeutic services, and short-term treatments which improve a child’s quality of life.  

In order to submit an application for funding consideration, individuals/families are required to meet the medical assistance guidelines below. Furthermore, priority will be given to those individuals/families that are connected to a referring nonprofit organization and/or medical facility that will accept the funding on their behalf. 

The Foundation will not consider requests that do not meet the guidelines below. Applications will be reviewed on a quarterly basis to determine suitability to the Foundation’s priorities and pertinence of the request. 

For more information about the Sheehan Charitable Foundation, please visit: www.cicf.org/SheehanCharitableFoundation 

ELIGIBILITY GUIDELINES

Individuals or families seeking support are required to meet the medical assistance requirements of the referring healthcare provider. The Foundation will not consider requests that do not meet the guidelines.

  • Applicant receiving device/services must be:
    • A resident of Central Indiana, with priority given to Hamilton County residents.
    • 18 years old or younger
  • If the applicant is covered by a commercial, state or federal health benefit plan, documentation of coverage must apply.
  • A lack of or limited resources are available to meet the healthcare need(s).
  • Applications requesting assistance for long-term prescription, therapy and other ongoing treatments will be reviewed for funding consideration on an annual basis. Therefore, requests should not exceed 12 months of support.

Contact Jeena Siela (JeenaS@cicf.org) with questions.


Sheehan Application

Referring Nonprofit Organization/Medical Entity

Priority will be given to those individuals/families that are connected to a nonprofit organization and/or medical facility that can receive funding on your behalf. The Foundation cannot grant money to individuals.
Are you connected to a nonprofit and/or medical facility?
Is this organization willing to accept funds on your behalf?
At this time, you won’t be able to continue with the application due to not being connected to a nonprofit organization and/or medical facility. The Foundation will need to determine if your request can be fulfilled by the Sheehan Charitable Foundation.
 
Please enter your name and email so we can contact you. If you need a faster response, please reach out directly to SheehanGrantSupport@cicf.org with your funding request.

Referring Nonprofit Organization/Medical Entity Information

Email
Confirm email
Mailing address of organization
Mailing address of organization
Address Line 1
Address Line 2
City
State/Province
Zip/Postal
Have you been referred by this organization for this medical assistance grant?

Request Details


The Ask: Please describe the medical assistance request.
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