Application deadline is March 31st of each year. Please ensure your application is legible and complete. Illegible, false, or missing information may disqualify you.
Mobility Angels serves families who need a wheelchair accessible vehicle and who do not have the financial means or insurance coverage to obtain it through traditional means.
Children between the ages of 1 to 21 years-old residing in the State of Florida in Miami-Dade, Broward, or Palm Beach County.
Child’s weight is 50 pounds or greater (*based on National Institute for Occupational Safety and Health’s (NIOSH) mathematical model to predict back injury) OR If the child’s weight is less than 50 pounds, a documented back injury of the Parent/Guardian.
Child’s Medical Diagnosis (ICD-10 Code) must be of a Neurological or Genetic condition. Please refer to the NIH: National Institute of Neurological Disorders and Stroke or the GHR: Genetic Home Reference. If your child’s diagnosis is not listed, contact us to verify.
Child’s Medical Insurance will not cover the full cost of converting a mini-van with a wheelchair lift.
Medical Prescription from Primary Care Physician indicating need for Wheelchair Accessible Vehicle for child’s medical condition and Letter of Medical Necessity or Form indicating child’s primary means of functional mobility is with a wheelchair; level of assistance needed to maneuver the wheelchair; and need for Wheelchair Lift. Forms may be provided if Letter of medical necessity cannot be written.
Last Physical Therapy and Occupational Therapy Evaluation and Plan of Care and Letter of Medical Necessity indicating child’s functional level of independent or assisted mobility; adapted equipment used for functional mobility; level of assistance needed; and need for wheelchair lift. Forms may be provided if Letter of medical necessity cannot be written.
Copy of last IEP and Letter of Recommendation from child’s teacher indicating child’s position and functional level while at school. Forms may be provided if Letter of medical necessity cannot be written.
Parent/Guardian(s) Legal Picture ID and last Water or Electric Bill.
Financial need must be determined and will be verified by last 2 years tax returns or other verifiable income. Mobility Angels Corporation will not limit the income cap. Please note funds will not be given directly to families.
Interviews will be required and may be conducted live and/or virtually.
Video of current transfer technique must be sent as well.
Other documents and forms will be required to include an Intake Application and Past Medical History Form.