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Help Us Finalize Your Application

Complete the form below so we can proceed with your Parkinson’s Wellness Fund grant.

We kindly ask that you include a letter from a licensed medical professional confirming a Parkinson’s diagnosis. This information is required to process your application and helps us maintain the integrity of our fund.

A licensed medical professional may be one of the following. Please ensure clarity of submissions.

  • Neurologist
  • Primary Care
  • Physician
  • Geriatrician
  • Movement Disorder Specialist
  • Physician Assistant
  • Nurse Practitioner
  • Chiropractor
  • Acupuncturist
  • Physical Therapist


Please upload your letter from a medical professional.