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Limbs for Lifeless FOR FUTURE9604 N. May Ave. Oklahoma City, OK 73120 (405) 8435174 office / (405) 8435123 fax (888) 2355462 toll-free www.limbsforlife.orgREFERENCEPatient Assistance Application Instructions
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How to fill out limbs for life

01
To fill out Limbs for Life application, follow these steps:
02
Visit the official Limbs for Life website.
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Navigate to the 'Apply' section on the website.
04
Download the application form for Limbs for Life.
05
Read the instructions provided on the form carefully.
06
Fill out the application form with accurate and relevant information.
07
Attach any required documents or supporting materials as mentioned in the instructions.
08
Double-check the filled form for any errors or missing information.
09
Submit the completed application form along with the required documents to the mentioned address or email provided on the form.
10
Wait for the Limbs for Life organization to review your application and contact you regarding the outcome.
11
Follow any further instructions provided by Limbs for Life for the next steps.
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Note: It is recommended to thoroughly review the eligibility criteria and guidelines before filling out the application form to ensure you meet the requirements.

Who needs limbs for life?

01
Limbs for Life is intended for individuals who:
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- Are in need of a prosthetic limb due to a congenital condition, accident, disease, or other valid reasons.
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- Have insufficient financial resources to afford a prosthetic limb on their own.
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- Are committed to following the application process and meeting all the necessary requirements.
05
- Understand and acknowledge the terms and conditions set by Limbs for Life.
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If you or someone you know fits the above criteria, they may be eligible to benefit from Limbs for Life's assistance.
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Limbs for Life is a nonprofit organization that provides prosthetic limbs to individuals who cannot afford them.
Individuals in need of prosthetic limbs and their healthcare providers are required to file for Limbs for Life.
To fill out Limbs for Life, individuals need to provide their personal information, medical history, and financial details.
The purpose of Limbs for Life is to ensure that individuals who cannot afford prosthetic limbs can still receive them.
Information such as personal details, medical history, financial information, and the reason for needing a prosthetic limb must be reported on Limbs for Life.
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