Applications

Jake’s Help From Heaven welcomes applicants of all ages living within 100 miles of Saratoga Springs, NY.

Jake’s Help From Heaven provides assistance in two different ways – through our grant application program and through our equipment exchange program.

Please email alyx@jakeshelpfromheaven.org with questions

We have specific applications for general requests, travel reimbursement, and technology requests.  If you have previously applied, you may be eligible to use the repeat application.

Please be sure to use the correct application.

JHFH GENERAL 2023: For medically fragile individuals in need of equipment, accessories and items of medical necessity or medical convenience.

JHFH TRAVEL APP 2023: For those seeking reimbursement for medical travel to see doctors and/or specialists. The Medical Travel Worksheet is also available in Excel. If medical treatment is done locally, please use the Local Travel application.

JHFH TECH APP 2023:  For those applying for technology devices and apps.

RJHFH REPEAT APP 2023: For applicants who have previously applied, have not reached their $2,500 calendar year cap and who have not had a change in diagnosis.  The Repeat Application is only for general requests.  

EMERGENCY SUPPORT FORM: This is for previously approved JHFH applicants who are experiencing an emergency situation that cannot wait until our scheduled Board of Directors meeting. Requests should not exceed $500. Please note that this does not replace our typical grant request program.

Equipment Exchange

Jake’s Help From Heaven serves as an equipment exchange opportunity for families (within 100 miles of Saratoga Springs, NY) requiring adaptive equipment.  If you are in need of particular equipment, please email alyx@jakeshelpfromheaven.org  In order to borrow equiptment, the following waiver will need to be signed: Jake’s Help From Heaven Equipment Waiver