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“Team Adelia”
Financial Assistance Application

Adelia’s family understands the difficulty and complexity of children’s medical journeys. The journey affects the entire family and all aspects of life. The Team Adelia Financial Assistance Program provides an avenue for relief of financial burden for families whose children are receiving treatment for complex care and those in medical crisis.

 

If you would like to be considered for our program, please complete the attached application, and forward to your social worker, oncologist or team physician for his/her signature. The completed form should be returned to teamadelia2011@gmail.com.

 

Applications with complete documentation will be reviewed and the applicant notified within 30 days of receipt of application. Applications will be reviewed as they are received, often more quickly than 30 days.

 

The Adelia Dundas Foundation was formed in 2023 in memory of Adelia Mae Dundas. She was a very special little girl who exemplified courage through numerous medical conditions including Aicardi Syndrome, a rare neurological disorder, and a chromosome deletion unmatched in the world. Adelia died of Myelodysplasia Syndrome, a bone marrow cancer, in March 2021 at the age of 10. The Foundation’s mission is to light the way for families of children in medical crisis, to provide bereavement support for families who have lost children, and to advance medical research for Aicardi Syndrome.

 

Thank you,

Team Adelia Foundation Board

Team Adelia Financial Assistance Application 

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