For Georgia families who meet the eligibility criteria for a maximum $2,000 for treatment with a medical doctor.
Apply for ONE scholarship only.
Applying for a scholarship for a second child will overwrite your initial application.
If you wish to apply for a scholarship for a second child,
contact Moira Giammatteo - email@example.com
REMINDER - One of the following is required to be eligible.
Attendance at at least 2 TACA Georgia events
View at least 2 TACA webinars
You can NOT change doctors after you have submitted this application. It is your responsibility to check to see if the doctor you choose is accepting patients AND to make sure you are happy with your choice. If you change your mind after submission you may have to re-apply for the scholarship and start over with the review process.
Choose the medical doctor you want to work with.
If the scholarship is awarded you can NOT switch doctors.
It is recommended by the review committee that you do the following:
1- Make sure that the doctor is taking new patients (unless you are applying for the scholarship to continue treatment with your current doctor.)
2- If you are not sure of your choice of doctor PLEASE DO NOT APPLY. Please connect with a TACA Parent Mentor and/or your local TACA Chapter, or TACA's online community to help you research your options and determine what doctor matches your child's needs best.
3- You can NOT split the funding between two doctors.
4- If the scholarship is awarded, ONE check will be sent to the doctor to use as he or she sees fit for the child's treatment. There is no way to send separate checks to different labs or supplement companies. IF the doctor can process an invoice for supplements or lab work through their office, then the scholarship funds can be used for those expenses.
5- The doctor you choose MUST be in Georgia, or be able to see patients in Georgia.
Use the fields below to put the name and contact information (address, phone number, AND email) for the doctor you wish to work with if you receive this scholarship.
All information submitted to TACA shall remain confidential. Please note that, pursuant to California and federal law requirements, TACA reserves the right to follow up to ensure any approved grant was actually used for its intended purpose.
I certify that the information on this form is true and complete to the best of my knowledge.
I understand that transportation or accommodations will not be provided with this grant.
By submitting this application, I hereby declare the above statements are true and correct to the best of my knowledge. I have clear and convincing documentation of all above statements and can provide these documents upon request of the TACA Scholarship Program.
Your application has been submitted. You will be notified of the outcome within 2 to 3 weeks.