Mikey G's Embracing Wings Foundation - (516) 426-8908

Our mission is to enhance the lives of children from law enforcement families living with a medical condition or disability. We realize that illnesses and disabilities cause serious emotional and financial strain on the entire family. While we are not able to cure your child’s illness or disability, we would like to help by providing donations to recipients that meet the required criteria.

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Medical Criteria:                                                                                               Disability Criteria:
- Cardiology                                                                                                           - Physical
- Endocrinology                                                                                                     - Cognitive
- Gastroenterology                                                                                                 - Developmental/Sensory
- Metabolic Conditions                                                                                           - A Combination of Any
- Nephrology
- Neurology/Neurosurgery
- Genetics
- Hematology
- Immunology & Infectious Disease
- Oncology
- Pulmonary
- Rheumatology

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If you have or know of a child who would like to be considered for Mikey G’s Embracing Wings Foundation medical-based or non-medical need-based donation, please complete and submit the application below. At least one parent/caregiver of applicants must be an active member of the Law Enforcement or a retired member with good standing. We can provide financial assistance for non-
reimbursed medical expenses/equipment for dependent children. A claim must be denied or partially covered by health insurance to be eligible for sponsorship by the Foundation.

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We accept referrals from:
- Medical Professionals (doctors, nurse practitioners, physician assistants, nurses, social workers)
- Parents/Legal Guardians
- Family Members/Friends with detailed knowledge of the child’s current medical condition
The founders of Mikey G’s Embracing Wings Foundation will select the recipients. The advisory board will be invited to help review the applications but will not be a part of the recipient selection process.

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The founders of Mikey G’s Embracing Wings Foundation will select the recipients. The advisory board will be invited to help review the applications but will not be a part of the recipient selection process.

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A complete application will consist of:
1. Applicant contact information including appropriate command and tax ID information of Law Enforcement member 
2. Physician Referral/Recommendation: Due to HIPPA practices, this must be obtained by the applicant and signed/stamped by the physician’s office 
3. Reference/Need-Based Forms: Please include a copy of your EOB and letter of denial from your health insurance provider(s)
4. Associated receipts/costs/paperwork for Out-of-Pocket expenses
5. All Required Signatures

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Please Download Medical Acknowledgement   MUST BE SIGNED, WITNESSED AND DATED BY CHILD'S PHYSICIAN(S)

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