Written by a parent, not a doctor. Nothing here is medical advice.

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Jason’s Friends Foundation

Family Financial Assistance Program

What you get

Help with treatment travel, household bills, your child's insurance deductible, and final expenses. The amount isn't published. Ask. Open now.

Who starts it
You
How it’s sent
Email to info@jasonsfriends.org
Your time
About 30 minutes
Last checked
Aug 27, 2026

Before you start, check you fit

  • Your child is 20 or under.
  • The program does not pay for help another service already covers.
  • Public pages do not state aggregate dollar limits or processing times.

  1. What their form asksA preview, so you can gather things first. Fill it in on their site.

    Open the application PDF ↗ Checked Aug 27, 2026

    Send it by email to info@jasonsfriends.org.

    What the form asks for

    Patient and household information
    TODAY’S DATECHILD’S FULL NAME / OF AGE CHILD’S FULL NAMEPhone, email, mailing address, and physical addressCHILD’S DATE OF BIRTH, CURRENT AGE, and GENDERCHILD’S SCHOOL and GRADECHILD’S DIAGNOSIS and DATE OF DIAGNOSISMEDICAL TREATMENT CENTER, CHILD’S DOCTOR, and HOSPITAL SOCIAL WORKERWHERE AND WITH WHOM DOES THE CHILD RESIDE? PLEASE INCLUDE ALL SIBLINGS (NAMES & AGES) AND ANY OTHER FAMILY MEMBERSMother, father, step-parent names; involvement; phone; and emailU.S. citizenship and Wyoming residency questions
    Employment, income change, other assistance, and requested help
    Present and pre-diagnosis employment, employer contact, employment duration, and monthly incomeWHO WILL MISS WORK TO CARE FOR THE CHILD AND TAKE THE CHILD TO TREATMENTS AND APPOINTMENTS? APPROXIMATELY HOW MUCH INCOME DO YOU EXPECT TO LOSE MONTHLYIS YOUR FAMILY RECEIVING ANY OTHER TYPES OF ASSISTANCE FROM OTHER AGENCIES, FOUNDATIONS OR FUNDRAISERS ...? IF SO, HOW MUCH AND WHAT TYPE OF ASSISTANCE IS BEING PROVIDEDDo you have medical insurance? Child’s individual annual deductibleDo you have sick leave and vacation pay? How much is available to use toward absences from workHOW CAN WE HELP? Travel expenses; mortgage/rent; car payment and vehicle details; utilities; other household bills and cost
    Medical release, agreements, and signatures
    Patient/child, doctor or authorized parent, hospital, address, and protected-health-information release detailsParent/guardian or patient certification and signature/date linesRELEASE AUTHORIZATION for first name, hometown, and photo

    Have ready

    • Completed age-appropriate enrollment request, including its release and agreement pages.
    • Copy of the applicant's Wyoming driver's license or, for the 18+ patient form, a Wyoming driver's license or state-issued ID.
    • Child or patient photo requested only for the optional publicity release. Only if they ask.

After you send

Call (307) 235-3421 or email info@jasonsfriends.org for completion help or to confirm receipt. If you have not heard back in two weeks, write and ask whether it arrived.

Full record, as published