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Apply for Renewal

Note: Use this application only if you were issued a grant this past year and you are applying to renew it.

The application may be completed by someone else, such as a care giver or family member, on behalf of the person with Parkinson's, as long as they have been authorized to provide the required information. If you need assistance in filling out the application, please do not hesitate to contact us at [email protected] or 727-380-0871 (voice or text).


Note: we are currently providing assistance to US citizens / permanent residents whose primary residence is in the state of Florida. If you are interested in assistance but you do not meet this criterion, please fill out our contact form, and we will reach out to you if and when we expand the locations we serve.


We value your privacy, and we treat your information as strictly confidential.