Post Loss Expenses Financial Assistance | Colette Louise Tisdahl Foundation

Post Loss Expenses Financial Assistance

Program provides financial assistance for qualifying families affected by: Miscarriage Stillbirth Ectopic pregnancy Infant loss Other pregnancy loss

Physical Address

No Physical Address, Chicago, IL 60604

Hours

Mon 12:00am - 11:59pm; Tue 12:00am - 11:59pm; Wed 12:00am - 11:59pm; Thu 12:00am - 11:59pm; Fri 12:00am - 11:59pm; Sat 12:00am - 11:59pm; Sun 12:00am - 11:59pm; Online application form is available 24 hours a day, 7 days a week.

Application process

Prospective client fill out and submit online application formHealthcare provider fill out and submit online verification formhttps://colettelouise.com/expenses-post-lost/

Fee

No fees

Eligibility

Acceptable verification has to fall under one of the following categories:1. A healthcare provider verification form submitted online on agency website at www.colettelouise.com that is appropriately filled out by the third party with complete name, title, and contact information.2. A healthcare provider writing a letter on the appropriate letterhead and emailing said letter directly to agency at [email protected]. The email must come from whoever wrote the letter and it must be from their official work email and include their full name and contact information in either the letter or the email.3. In cases of loss documentation submitted or sent from either healthcare provider or parent applying that is official government or hospital paperwork. This may include a death certificate, the official paperwork that hospital completes for a death, or a detailed medical write up (not discharge paperwork) that shows the logo and contact information for the hospital or doctor as well as contact information for follow up.

Languages

English

Service area

United States United States United States United States United States United States United States United States United States United States United States United States United States United States United States United States

Agency info

Colette Louise Tisdahl Foundation

Agency provides financial assistance to families dealing with high-risk and complicated pregnancies, premature birth and NICU stays, or loss.