United States Treatment Grant Application

What you will need:

 To help you complete the application in one sitting, we recommend having the following ready:

• your 1040 federal tax return (most recent)  

• Proof of Lyme diagnosis 

• Financial documentation (income/ employment info) 

• Letter of support (from doctor, provider, or professional familiar with your case) 

This will help prevent any delays or restarts. 

Who is eligible to apply for a Lyme Treatment Foundation grant?

- Citizens of Canada, the UK (England, Ireland, Scotland, Wales), Germany, and the United States are eligible to apply. 

-  Applicant must demonstrate true financial need.

-  Applicant must be diagnosed with a tick-borne illness. 

-  If you have not received a diagnosis, please fill out our application for a testing grant. Learn more at lymetreatmentfoundation.org/testing-application.

-  All ages are eligible to apply.

Grant updates will be posted to our website and social media pages. 

 You will ONLY receive an email if you are a successful grant applicant.

Grant applications are now open!

Please note: While we try to help as many as possible have access to Lyme treatment, we typically receive hundreds of applications each round. Therefore, we cannot guarantee anyone a grant. Thank you for your understanding.

Grant Information: 

- Grant recipients may receive up to $4,000 USD to cover treatment costs with a Lyme literate physician. This includes MDs, DO's, ND's as well as nurse practitioners, and physician assistants. 

- If you, or your child, are currently seeing a Lyme literate physician, the funds may be sent directly to the current doctor you are seeing.

- Grant recipients will be notified via email, so when applying please provide us with an accurate email address and check your junk email frequently after the grant application closes.

You will ONLY receive an email if you are a successful grant applicant.

Grant Expiration Policy:

- Grant funds expire after 6 months of non-use. We have an extensive waitlist and funds will be given to another individual after 6 months of non-use.

Application Information: This application must be completed in one sitting.

- After grant decisions have been made, applications will be kept for one year and then will be deleted to ensure your information is protected. You will be able to reapply in the following year. 

- We do not store or share any of your information.  

-We do not need medical records unrelated to your tick-borne illness diagnosis.

Required Documentation:

U.S. Applicants

1. Upload the first page of your 1040 Federal Tax return. ** Please black out your social security number and any other sensitive information before uploading and submitting this application. (If you did not file a federal tax return, please provide and upload documentation of participation in Medicaid, Social Security Disability, Food Stamps, or any other similar government program).

2. Please upload a physician's note stating your diagnosis. This letter must be on an official doctor's letterhead with the physician's name and phone number. You may also upload a positive Lyme disease/tick-borne illness blood test in place of a physician’s letter.

3. Upload any supplemental information, such as letters of support from family or members in your community who know you and your Lyme disease situation best.

Optional Documentation:

1. Upload a photo.

Mailing in Supplemental Information:

- We do not accept mailed-in applications

-Supplemental information may be mailed to the address below:

Lyme Treatment Foundation, Inc.

Attn. Grant Committee

102 N.E. 2nd Street Suite 907

Boca Raton, FL 33432

Previously applied online for a Lyme Treatment Foundation grant  

- In order to ensure up-to-date and accurate information, applicants must submit a new application each application cycle. 

Contact Us:

- All other grant-related questions can be directed to: info@lymetreatmentfoundation.org

- Please do not email asking specific questions as to where the grant funds can go. Lyme Treatment Foundation, Inc. grant funds may ONLY be used to see a Lyme literate physician.

- We do not reimburse patients for previous doctors visits.

- Due to a high number of emails being received, we may not be able to respond to your specific email.