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Support for adults with cystic fibrosis

hardship assistance

If you’re an adult with cystic fibrosis and need a hand, we want to know.

From groceries and rent to copays, prescriptions, and travel for treatment, we help cover the everyday and medical costs that come with life with CF.

Whatever it is, we’re here.

By submitting your information, You give the Filotimo Foundation permission to contact medical professionals and social workers to better assess and respond to your request.

Please note: Requests should receive a response within 10 business days.

Type of Request *

First Name *

Last Name *

Email *

Phone *

Street Address *

Address Line 2

City *

State *

Zip Code *

Type of Assistance *

Add a bill or lease agreement

Click or drag a file to this area to upload.

Choose File

Providing a bill or lease agreement in your name will aid in the review and response of your request. Per the IRS, all bills must be in the patient’s name.

Amount Requested *

Have you received help from Filotimo this calendar year? *

Yes

CF Doctor *

Social Worker Name *

CF Clinic *

Date of Birth *

Message *

How did you hear about us? *

Please specify.

I further grant permission for the hospital, and any affiliated social workers or members of my care team involved in my care to communicate with and share relevant information with the Filotimo Foundation as needed to assess my application.

I understand that any information obtained or shared in connection with my application will be used solely for the purpose of evaluating my eligibility and coordinating support services.

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Reach out before you apply. Contact us to start the conversation.

Support for adults with cystic fibrosis

hardship assistance

Whatever it is, we’re here.

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