ALLIANCE IN RECONSTRUCTIVE SURGERY (AiRS)
FOUNDATION POLICY FOR GRANTS TO INDIVIDUALS
All grant applications for medical expenses relating to breast reconstructive surgery submitted through this process will be considered.
Each applicant who has undergone a mastectomy will be considered for a grant, based on their application details and the received support information. All grants are awarded through an objective and nondiscriminatory selection process.
Criteria for AiRS Foundation’s grants to individuals are based on the foundations submission to the IRS at the time of its approval for 501c3 standing as a charitable foundation. Grants awarded may range from an individual’s medical bill co-pay to the full cost of reconstructive surgery, hospitalization, and other related medical expenses.
An individual may be disqualified based on IRS Code Section 4958 or a grant may be revoked if it is determined that information has been falsified.
APPLICATION & CLIENT AGREEMENT
BREAST RECONSTRUCTION PROGRAM
Dear Breast Cancer Survivor:
We understand that you wish to be considered as a candidate to receive charitable benefits through the Alliance in Reconstruction Surgery Foundation (AiRS) breast reconstruction program. To be considered, please download the Application and Client Agreement forms, ensure you meet the Candidate Criteria, complete the form and email or mail them to the email address or mailing address below:
Included in this downloadable document you will find:
- Client Agreement
- Grant Application Form
- News & Publication Authorization Form
- Grant Policies and Guidelines
Please make sure you qualify for the services by reviewing the Client agreement before you submit your application forms.
Mailing Address: Attn: Director AiRS Foundation 3401 Lee Parkway Suite 1504 Dallas, TX 75219
FEDERAL POVERTY GUIDELINES
2015 FEDERAL POVERTY GUIDELINES
You must meet the Federal Poverty Guidelines in order to be considered for the Alliance in Reconstructive Surgery’s services: