Contact information
Name, city and state, email address, optional phone number, and parent or guardian information when applicable.
Individual Assistance Program
Apply for Assistance
Now accepting applications
Review the information below before opening the initial application. This will help you understand what the Foundation may consider and what information may be requested later.
Before you start
A complete request helps us review your need.
The application is for an individual requesting limited help through the Individual Assistance Program. A parent or legal guardian should complete the application for a minor.
Quick Eligibility Check
Before applying, please confirm that:
- The person requesting assistance lives in the United States
- The person has a spinal cord injury, paralysis, or another serious injury or condition causing significant long-term mobility limitations
- The request is for an eligible equipment need or related medical or rehabilitation expense
- The applicant is willing to provide documentation and a brief explanation of financial need
- The applicant understands that assistance is limited and not guaranteed
What to Have Ready
Information about the need
A short, clear description of the item, repair, bill, or rehabilitation expense being requested.
Supporting documentation
Have medical confirmation and an itemized quote, estimate, invoice, or statement available. Do not upload or email sensitive documents unless the Foundation provides separate instructions.
Financial-need explanation
A brief explanation of why assistance is needed and whether insurance, another program, or fundraising may cover part of the cost.
What Happens After You Apply
Application received
The Foundation checks whether the required questions in the initial form are complete.
Follow-up if needed
We may contact you for clarification, supporting documents, or permission to verify information with a vendor or provider.
Individual review
The Foundation considers eligibility, program fit, documentation, other available resources, and current funding.
Response
We aim to send an initial response within 3–5 business days after the application is complete. A final decision may take longer.
Ready to apply?
Complete the initial application below.
The Foundation-managed Google Form gathers basic information and does not accept document uploads. If supporting documents are needed, the Foundation will provide separate instructions. If the form does not load or you prefer to complete it full screen, use the button.
Protect your privacy: Do not submit Social Security numbers, bank-account details, passwords, insurance identification numbers, detailed medical histories, or complete medical records unless the Foundation later provides specific secure instructions.
Urgent or Emergency Needs
Nathan Powell Foundation does not provide emergency medical services or immediate emergency funding. If you have a medical emergency, call 911 or contact an appropriate healthcare professional. For urgent local needs, you may also contact 211 or another community resource.