Nominate

Are you or someone you or someone you know walking through a medical and financial hardship? Fill out this form to tell us more about the situation. We will do our best to help or connect you to a service we believe is better equipped to walk alongside you!

nomination form

Please submit the applicable paperwork below alongside your nomination to ensure a timely response:

*please send the first page of your 1040 to Storytellers@weareloveheals.org

Press Release

*must be filled out individually & for ALL minors involved in event. click button to complete form

*must be completed by your primary doctor