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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!
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
*must be filled out individually & for ALL minors involved in event. click button to complete form
*must be completed by your primary doctor
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