Recommend a Child

Know of a child with a disability or life-threatening illness who is in need of financial assistance to help cover medical expenses? Please contact us with the full story and details of the child`s condition and current financial situation. She/He must be under the age of 18yr. and must be residing in South Africa. If you do not have the correct contact details of the parents, the child`s diagnosis, and/or other requested information – kindly forward the link to the child`s parent or legal guardian. This form MUST be completed with all relevant information. Thank you in advance.

Child`s first name and surname.
Age and medical diagnosis of the child.
Where the child lives.
The child`s story. Please include as much information as possible to speed up the application process.
Include Medical Aid status and medical expenses that are not covered.
Name of the page or the URL i.e https://www.facebook.com/ArmsofMercyNPC.
Parent/Guardian contact details of child.
Parent/Guardian email address of child.
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