Share your story with us

If you’ve received a life-changing UHCCF medical grant in the past, we’d love to hear your story. Please fill out the form below. If you’d like to share photos of your child or pictures of their artwork to help tell their story, we want to see those too.

Are You a UHCCF grant recipient? Share your story!

" " indicates required fields

All fields are required unless marked optional.

Parent Information

Parent Name 
Address 
Spouse/partner, siblings, grandparents, etc.

Grant Recipient Information

Grant Recipient Name 

Information About Your Story

Share photos of your child and images of their art to help tell their story. If they benefit from a brief description or caption, include some basic info below.
Drop files here or
Accepted file types: jpg, png, Max. file size: 10 MB.
    Add any helpful descriptions or captions for the photos you’ve shared of your child
    This field is for validation purposes and should be left unchanged.

    “Naomi isn’t able to ride a two-wheel bike because of balance issues. It was electrifying hearing we received a grant to fund a three-wheel trike for her. It made her dreams possible.”

    Rebecca | Naomi’s Mother

    A family of four with a mom, dad, and two little girls stands together, smiling at the camera. The mom, Jill, has her hand on the little girl Maci’s arm. Maci is wearing glasses and standing closest to the camera.

    Stay in touch

    "(required)" indicates required fields

    What is your relationship to UHCCF?
    This field is for validation purposes and should be left unchanged.
    A little girl named Zayley smiles widely at the camera while hugging a stuffed Oliver the Bear.
    Zayley
    Grant Recipient, 2024