{"id":29242,"date":"2026-05-18T19:37:28","date_gmt":"2026-05-18T19:37:28","guid":{"rendered":"https:\/\/heartgift.org\/?page_id=29242"},"modified":"2026-05-22T19:27:11","modified_gmt":"2026-05-22T19:27:11","slug":"family-support-program","status":"publish","type":"page","link":"https:\/\/heartgift.org\/es\/familysupport\/","title":{"rendered":"Family Support Program"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"29242\" class=\"elementor elementor-29242\">\n\t\t\t\t<div class=\"elementor-element elementor-element-17040b56 e-flex e-con-boxed e-con e-parent\" data-id=\"17040b56\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-48cfbe4c e-flex e-con-boxed e-con e-child\" data-id=\"48cfbe4c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-750d49c5 e-con-full e-flex e-con e-child\" data-id=\"750d49c5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4f8cbc33 elementor-widget elementor-widget-hub_fancy_heading\" data-id=\"4f8cbc33\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"hub_fancy_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n\t\t<div id=\"ld-fancy-heading-6a3f3cb25b380\" class=\"ld-fancy-heading pos-rel\">\n\t\t\t<h1 class=\"ld-fh-element d-inline-block pos-rel  elementor-heading-title lqd-highlight-classic lqd-highlight-grow-left h1\"  > Family Support<br>program<\/h1>\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4f2cc2e6 e-con-full e-flex e-con e-child\" data-id=\"4f2cc2e6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3755cc7 elementor-widget elementor-widget-image\" data-id=\"3755cc7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1080\" height=\"1080\" src=\"https:\/\/heartgift.org\/wp-content\/uploads\/2026\/05\/HeartGift-USFamilySupportProgram-FeaturedImage.png\" class=\"attachment-full size-full wp-image-29272\" alt=\"HeartGift USFamilySupportProgram FeaturedImage\" srcset=\"https:\/\/heartgift.org\/wp-content\/uploads\/2026\/05\/HeartGift-USFamilySupportProgram-FeaturedImage.png 1080w, https:\/\/heartgift.org\/wp-content\/uploads\/2026\/05\/HeartGift-USFamilySupportProgram-FeaturedImage-300x300.png 300w, https:\/\/heartgift.org\/wp-content\/uploads\/2026\/05\/HeartGift-USFamilySupportProgram-FeaturedImage-1024x1024.png 1024w, https:\/\/heartgift.org\/wp-content\/uploads\/2026\/05\/HeartGift-USFamilySupportProgram-FeaturedImage-150x150.png 150w, https:\/\/heartgift.org\/wp-content\/uploads\/2026\/05\/HeartGift-USFamilySupportProgram-FeaturedImage-12x12.png 12w, https:\/\/heartgift.org\/wp-content\/uploads\/2026\/05\/HeartGift-USFamilySupportProgram-FeaturedImage-320x320.png 320w, https:\/\/heartgift.org\/wp-content\/uploads\/2026\/05\/HeartGift-USFamilySupportProgram-FeaturedImage-760x760.png 760w, https:\/\/heartgift.org\/wp-content\/uploads\/2026\/05\/HeartGift-USFamilySupportProgram-FeaturedImage-400x400.png 400w, https:\/\/heartgift.org\/wp-content\/uploads\/2026\/05\/HeartGift-USFamilySupportProgram-FeaturedImage-600x600.png 600w, https:\/\/heartgift.org\/wp-content\/uploads\/2026\/05\/HeartGift-USFamilySupportProgram-FeaturedImage-500x500.png 500w\" sizes=\"(max-width: 1080px) 100vw, 1080px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7338943 e-flex e-con-boxed e-con e-parent\" data-id=\"7338943\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ce97a68 elementor-widget elementor-widget-shortcode\" data-id=\"ce97a68\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework gf_stylespro_wrapper sp_flat_wrapper' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_17' >\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">HeartGift Family Support Program Application<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_17' class='gf_stylespro sp_flat' action='\/es\/wp-json\/wp\/v2\/pages\/29242' data-formid='17' novalidate data-trp-original-action=\"\/es\/wp-json\/wp\/v2\/pages\/29242\">\n                        <div class='gform-body gform_body'><ul id='gform_fields_17' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_17_33\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Child Information<\/h2><\/li><li id=\"field_17_119\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gf_half o_medium\"  data-field-class=\"gf_half o_medium\" ><label class='gfield_label gform-field-label' for='input_17_119'>Full Name of Child:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_119' id='input_17_119' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_17_220\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_220'>Current Age<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_220' id='input_17_220' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_17_213\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Sex<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_17_213'>\n\t\t\t<li class='gchoice gchoice_17_213_0'>\n\t\t\t\t<input name='input_213' type='radio' value='Female'  id='choice_17_213_0'    \/>\n\t\t\t\t<label for='choice_17_213_0' id='label_17_213_0' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_213_1'>\n\t\t\t\t<input name='input_213' type='radio' value='Male'  id='choice_17_213_1'    \/>\n\t\t\t\t<label for='choice_17_213_1' id='label_17_213_1' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_17_166\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_166'>Diagnosis<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_166' id='input_17_166' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_17_196\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Caregiver Information<\/h2><\/li><li id=\"field_17_120\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible o_medium\"  data-field-class=\"o_medium\" ><label class='gfield_label gform-field-label' for='input_17_120'>Full Name of Caregiver<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_120' id='input_17_120' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_17_194\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible o_medium\"  data-field-class=\"o_medium\" ><label class='gfield_label gform-field-label' for='input_17_194'>Relationship to Child<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_194' id='input_17_194' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_17_149\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gf_newline o_medium\"  data-field-class=\"gf_newline o_medium\" ><label class='gfield_label gform-field-label' for='input_17_149'>Phone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_149' id='input_17_149' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_17_151\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gf_newline o_medium\"  data-field-class=\"gf_newline o_medium\" ><label class='gfield_label gform-field-label' for='input_17_151'>Email Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_151' id='input_17_151' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_17_197\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Home Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city ginput_container_address gform-grid-row' id='input_17_197' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_17_197_1_container' >\n                                        <input type='text' name='input_197.1' id='input_17_197_1' value=''    aria-required='true'    \/>\n                                        <label for='input_17_197_1' id='input_17_197_1_label' class='gform-field-label gform-field-label--type-sub'>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_17_197_2_container' >\n                                        <input type='text' name='input_197.2' id='input_17_197_2' value=''     aria-required='false'   \/>\n                                        <label for='input_17_197_2' id='input_17_197_2_label' class='gform-field-label gform-field-label--type-sub'>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_17_197_3_container' >\n                                    <input type='text' name='input_197.3' id='input_17_197_3' value=''    aria-required='true'    \/>\n                                    <label for='input_17_197_3' id='input_17_197_3_label' class='gform-field-label gform-field-label--type-sub'>City, State, Zip Code<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_197.4' id='input_17_197_4' value=''\/><input type='hidden' class='gform_hidden' name='input_197.6' id='input_17_197_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_17_214\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Health Insurance Status<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_17_214'>\n\t\t\t<li class='gchoice gchoice_17_214_0'>\n\t\t\t\t<input name='input_214' type='radio' value='Medicaid'  id='choice_17_214_0'    \/>\n\t\t\t\t<label for='choice_17_214_0' id='label_17_214_0' class='gform-field-label gform-field-label--type-inline'>Medicaid<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_214_1'>\n\t\t\t\t<input name='input_214' type='radio' value='Uninsured'  id='choice_17_214_1'    \/>\n\t\t\t\t<label for='choice_17_214_1' id='label_17_214_1' class='gform-field-label gform-field-label--type-inline'>Uninsured<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_214_2'>\n\t\t\t\t<input name='input_214' type='radio' value='Private'  id='choice_17_214_2'    \/>\n\t\t\t\t<label for='choice_17_214_2' id='label_17_214_2' class='gform-field-label gform-field-label--type-inline'>Private<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_214_3'>\n\t\t\t\t<input name='input_214' type='radio' value='gf_other_choice'  id='choice_17_214_3'   onfocus=\"jQuery(this).next().next('input').focus();\" \/>\n\t\t\t\t<input class='small' id='input_17_214_other' name='input_214_other' type='text' value='Other' aria-label='Other' onfocus='jQuery(this).prev().prev(\"input\")[0].click(); if(jQuery(this).val() == \"Other\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Other\"); }'   \/>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_17_195\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Assistance Requested<\/h2><div class='gsection_description' id='gfield_description_17_195'>Please let us know the intended use of the requested funds.<\/div><\/li><li id=\"field_17_201\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Medical Purposes<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_17_201'>\n\t\t\t<li class='gchoice gchoice_17_201_0'>\n\t\t\t\t<input name='input_201' type='radio' value='Yes'  id='choice_17_201_0'    \/>\n\t\t\t\t<label for='choice_17_201_0' id='label_17_201_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_201_1'>\n\t\t\t\t<input name='input_201' type='radio' value='No'  id='choice_17_201_1'    \/>\n\t\t\t\t<label for='choice_17_201_1' id='label_17_201_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_17_122\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gf_third o_medium\"  data-field-class=\"gf_third o_medium\" ><label class='gfield_label gform-field-label' for='input_17_122'>If yes, please list:<\/label><div class='gfield_description' id='gfield_description_17_122'>i.e. Medications, equipment, co-pays, etc.<\/div><div class='ginput_container ginput_container_text'><input name='input_122' id='input_17_122' type='text' value='' class='large'  aria-describedby=\"gfield_description_17_122\"    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_17_200\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Travel Expenses<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_17_200'>\n\t\t\t<li class='gchoice gchoice_17_200_0'>\n\t\t\t\t<input name='input_200' type='radio' value='Yes'  id='choice_17_200_0'    \/>\n\t\t\t\t<label for='choice_17_200_0' id='label_17_200_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_200_1'>\n\t\t\t\t<input name='input_200' type='radio' value='No'  id='choice_17_200_1'    \/>\n\t\t\t\t<label for='choice_17_200_1' id='label_17_200_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_17_202\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Parking<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_17_202'>\n\t\t\t<li class='gchoice gchoice_17_202_0'>\n\t\t\t\t<input name='input_202' type='radio' value='Yes'  id='choice_17_202_0'    \/>\n\t\t\t\t<label for='choice_17_202_0' id='label_17_202_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_202_1'>\n\t\t\t\t<input name='input_202' type='radio' value='No'  id='choice_17_202_1'    \/>\n\t\t\t\t<label for='choice_17_202_1' id='label_17_202_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_17_203\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Lodging<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_17_203'>\n\t\t\t<li class='gchoice gchoice_17_203_0'>\n\t\t\t\t<input name='input_203' type='radio' value='Yes'  id='choice_17_203_0'    \/>\n\t\t\t\t<label for='choice_17_203_0' id='label_17_203_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_203_1'>\n\t\t\t\t<input name='input_203' type='radio' value='No'  id='choice_17_203_1'    \/>\n\t\t\t\t<label for='choice_17_203_1' id='label_17_203_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_17_204\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Meals<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_17_204'>\n\t\t\t<li class='gchoice gchoice_17_204_0'>\n\t\t\t\t<input name='input_204' type='radio' value='Yes'  id='choice_17_204_0'    \/>\n\t\t\t\t<label for='choice_17_204_0' id='label_17_204_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_204_1'>\n\t\t\t\t<input name='input_204' type='radio' value='No'  id='choice_17_204_1'    \/>\n\t\t\t\t<label for='choice_17_204_1' id='label_17_204_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_17_215\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_215'>Other (please describe)<\/label><div class='ginput_container ginput_container_text'><input name='input_215' id='input_17_215' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_17_218\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >May we contact you to learn more about your congenital heart defect journey?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_17_218'>\n\t\t\t<li class='gchoice gchoice_17_218_0'>\n\t\t\t\t<input name='input_218' type='radio' value='Yes'  id='choice_17_218_0'    \/>\n\t\t\t\t<label for='choice_17_218_0' id='label_17_218_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_218_1'>\n\t\t\t\t<input name='input_218' type='radio' value='No'  id='choice_17_218_1'    \/>\n\t\t\t\t<label for='choice_17_218_1' id='label_17_218_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_17_206\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >I hereby authorize the release of my child&#039;s protected health information (name, age, diagnosis, address, phone number, email address) to HeartGift for the purposes of the financial assistance I am requesting.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_17_206'>\n\t\t\t<li class='gchoice gchoice_17_206_0'>\n\t\t\t\t<input name='input_206' type='radio' value='Yes'  id='choice_17_206_0'    \/>\n\t\t\t\t<label for='choice_17_206_0' id='label_17_206_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_17_206_1'>\n\t\t\t\t<input name='input_206' type='radio' value='No'  id='choice_17_206_1'    \/>\n\t\t\t\t<label for='choice_17_206_1' id='label_17_206_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_17_207\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_207'>Parent\/Caregiver Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div ><div id='input_17_207_Container' style='height:180px; width:300px; ' ><input type='hidden' class='gform_hidden' name='input_17_207_valid' id='input_17_207_valid' \/><canvas id='input_17_207' width='300' height='180'><\/canvas><\/div><\/div><\/li><li id=\"field_17_208\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_208'>Social Worker Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div ><div id='input_17_208_Container' style='height:180px; width:300px; ' ><input type='hidden' class='gform_hidden' name='input_17_208_valid' id='input_17_208_valid' \/><canvas id='input_17_208' width='300' height='180'><\/canvas><\/div><\/div><\/li><li id=\"field_17_216\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_216'>Social Worker Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_216' id='input_17_216' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_17_219\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_219'>Treating Hospital<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_219' id='input_17_219' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_17_210\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_210'>Today&#039;s Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_210' id='input_17_210' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_17_210_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_17_210_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_17_210' class='gform_hidden' value='https:\/\/heartgift.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_17_211\" class=\"gfield gfield--type-captcha gfield--input-type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_211'>CAPTCHA<\/label><div id='input_17_211' class='ginput_container ginput_recaptcha' data-sitekey='6LeYEXcUAAAAAKLtXQveBiqxPRAyQboJ_C5VxCDk'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_17' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Enviar'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_17' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_17' id='gform_theme_17' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' 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} );} );\n<\/script>\n<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-69bdb88 elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-mobile e-flex e-con-boxed e-con e-parent\" data-id=\"69bdb88\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-4b93886 e-flex e-con-boxed e-con e-child\" data-id=\"4b93886\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0b03ba5 elementor-widget elementor-widget-heading\" data-id=\"0b03ba5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">HeartGift's medical selection criteria includes:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4936771 elementor-position-inline-start elementor-view-default elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"4936771\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"17\" height=\"17\" viewbox=\"0 0 17 17\" fill=\"none\"><path d=\"M10.9795 3.54169H7.79199L11.3337 8.50002L7.79199 13.4584H10.9795L14.5212 8.50002L10.9795 3.54169Z\" fill=\"#C92026\"><\/path><path d=\"M6.02051 3.54169H2.83301L6.37468 8.50002L2.83301 13.4584H6.02051L9.56218 8.50002L6.02051 3.54169Z\" fill=\"#C92026\"><\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tBe under age 14.\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-37a3fb6 elementor-position-inline-start elementor-view-default elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"37a3fb6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"17\" height=\"17\" viewbox=\"0 0 17 17\" fill=\"none\"><path d=\"M10.9795 3.54169H7.79199L11.3337 8.50002L7.79199 13.4584H10.9795L14.5212 8.50002L10.9795 3.54169Z\" fill=\"#C92026\"><\/path><path d=\"M6.02051 3.54169H2.83301L6.37468 8.50002L2.83301 13.4584H6.02051L9.56218 8.50002L6.02051 3.54169Z\" fill=\"#C92026\"><\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tNot have undergone previous cardiac surgery.\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-23a1b1f elementor-position-inline-start elementor-view-default elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"23a1b1f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"17\" height=\"17\" viewbox=\"0 0 17 17\" fill=\"none\"><path d=\"M10.9795 3.54169H7.79199L11.3337 8.50002L7.79199 13.4584H10.9795L14.5212 8.50002L10.9795 3.54169Z\" fill=\"#C92026\"><\/path><path d=\"M6.02051 3.54169H2.83301L6.37468 8.50002L2.83301 13.4584H6.02051L9.56218 8.50002L6.02051 3.54169Z\" fill=\"#C92026\"><\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tHave a biventricular condition that can be repaired in one operation which include but may not be limited to the following types of defects:\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b7bb8b9 elementor-widget elementor-widget-text-editor\" data-id=\"b7bb8b9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>Patent Ductus Arteriosis (PDA)<\/li><li>Coarctation of the Aorta<\/li><li>Atrial Septal Defect (ASD)<\/li><li>Ventricular Septal Defect (VSD)<\/li><li>Tetrology of Fallot (TOF)<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-61b7498 elementor-position-inline-start elementor-view-default elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"61b7498\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"17\" height=\"17\" viewbox=\"0 0 17 17\" fill=\"none\"><path d=\"M10.9795 3.54169H7.79199L11.3337 8.50002L7.79199 13.4584H10.9795L14.5212 8.50002L10.9795 3.54169Z\" fill=\"#C92026\"><\/path><path d=\"M6.02051 3.54169H2.83301L6.37468 8.50002L2.83301 13.4584H6.02051L9.56218 8.50002L6.02051 3.54169Z\" fill=\"#C92026\"><\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tHave no chromosomal abnormalities.\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0b12524 elementor-widget elementor-widget-text-editor\" data-id=\"0b12524\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tI hereby certify that all known and\/or discernible health conditions are disclosed in the referring documents, e.g. suspected chromosomal disorders or other syndromes, immune deficiency, and any other diseases.\u2028\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2304508 e-con-full elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-mobile e-flex e-con e-parent\" data-id=\"2304508\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-b53fa6f e-flex e-con-boxed e-con e-child\" data-id=\"b53fa6f\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-93b1380 e-con-full e-flex e-con e-child\" data-id=\"93b1380\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;position&quot;:&quot;absolute&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-56e3b90 elementor-widget elementor-widget-heading\" data-id=\"56e3b90\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Application Requirements:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-10ba8bd elementor-widget elementor-widget-text-editor\" data-id=\"10ba8bd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tAll requested information must be provided in order for the application to be considered by the Medical Review Committee. Missing information will delay the application until all necessary information is received. Please be sure to include the following when filling out the online application:\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-72fed8c elementor-position-inline-start elementor-view-default elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"72fed8c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"17\" height=\"17\" viewbox=\"0 0 17 17\" fill=\"none\"><path d=\"M10.979 3.54163H7.7915L11.3332 8.49996L7.7915 13.4583H10.979L14.5207 8.49996L10.979 3.54163Z\" fill=\"white\"><\/path><path d=\"M6.021 3.54163H2.8335L6.37516 8.49996L2.8335 13.4583H6.021L9.56266 8.49996L6.021 3.54163Z\" fill=\"white\"><\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tFull legal name of the child\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dd3a9b7 elementor-position-inline-start elementor-view-default elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"dd3a9b7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"17\" height=\"17\" viewbox=\"0 0 17 17\" fill=\"none\"><path d=\"M10.979 3.54163H7.7915L11.3332 8.49996L7.7915 13.4583H10.979L14.5207 8.49996L10.979 3.54163Z\" fill=\"white\"><\/path><path d=\"M6.021 3.54163H2.8335L6.37516 8.49996L2.8335 13.4583H6.021L9.56266 8.49996L6.021 3.54163Z\" fill=\"white\"><\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tCurrent echocardiogram and report \u2013 Complete echocardiogram, including doppler images, performed within the past 3 months by a pediatric cardiologist or attending physician. We require a moving echocardiogram in DIACOM, MP4, or AVI format. No JPEG or still images will be accepted in place of the echocardiogram.\u00a0The medical committee will not review a case without a moving echocardiogram.\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9fb7bc4 elementor-position-inline-start elementor-view-default elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"9fb7bc4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"17\" height=\"17\" viewbox=\"0 0 17 17\" fill=\"none\"><path d=\"M10.979 3.54163H7.7915L11.3332 8.49996L7.7915 13.4583H10.979L14.5207 8.49996L10.979 3.54163Z\" fill=\"white\"><\/path><path d=\"M6.021 3.54163H2.8335L6.37516 8.49996L2.8335 13.4583H6.021L9.56266 8.49996L6.021 3.54163Z\" fill=\"white\"><\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tPhoto of Child\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4626d9c elementor-position-inline-start elementor-view-default elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"4626d9c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"17\" height=\"17\" viewbox=\"0 0 17 17\" fill=\"none\"><path d=\"M10.979 3.54163H7.7915L11.3332 8.49996L7.7915 13.4583H10.979L14.5207 8.49996L10.979 3.54163Z\" fill=\"white\"><\/path><path d=\"M6.021 3.54163H2.8335L6.37516 8.49996L2.8335 13.4583H6.021L9.56266 8.49996L6.021 3.54163Z\" fill=\"white\"><\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tCurrent immunization record\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bb00474 elementor-position-inline-start elementor-view-default elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"bb00474\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"17\" height=\"17\" viewbox=\"0 0 17 17\" fill=\"none\"><path d=\"M10.979 3.54163H7.7915L11.3332 8.49996L7.7915 13.4583H10.979L14.5207 8.49996L10.979 3.54163Z\" fill=\"white\"><\/path><path d=\"M6.021 3.54163H2.8335L6.37516 8.49996L2.8335 13.4583H6.021L9.56266 8.49996L6.021 3.54163Z\" fill=\"white\"><\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tTest results for the following:\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-73ce302 elementor-widget elementor-widget-text-editor\" data-id=\"73ce302\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>TB<\/li><li>Malaria<\/li><li>Hepatitis B&amp;C<\/li><li>HIV<\/li><li>Parasites (may be asked to<br \/>retake tests before traveling)<\/li><li>Sickle Cell<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2c98722 elementor-position-inline-start elementor-view-default elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"2c98722\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"17\" height=\"17\" viewbox=\"0 0 17 17\" fill=\"none\"><path d=\"M10.979 3.54163H7.7915L11.3332 8.49996L7.7915 13.4583H10.979L14.5207 8.49996L10.979 3.54163Z\" fill=\"white\"><\/path><path d=\"M6.021 3.54163H2.8335L6.37516 8.49996L2.8335 13.4583H6.021L9.56266 8.49996L6.021 3.54163Z\" fill=\"white\"><\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tECG\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-80c5c47 elementor-position-inline-start elementor-view-default elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"80c5c47\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"17\" height=\"17\" viewbox=\"0 0 17 17\" fill=\"none\"><path d=\"M10.979 3.54163H7.7915L11.3332 8.49996L7.7915 13.4583H10.979L14.5207 8.49996L10.979 3.54163Z\" fill=\"white\"><\/path><path d=\"M6.021 3.54163H2.8335L6.37516 8.49996L2.8335 13.4583H6.021L9.56266 8.49996L6.021 3.54163Z\" fill=\"white\"><\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tChest X-ray\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3289f4f elementor-position-inline-start elementor-view-default elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"3289f4f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"17\" height=\"17\" viewbox=\"0 0 17 17\" fill=\"none\"><path d=\"M10.979 3.54163H7.7915L11.3332 8.49996L7.7915 13.4583H10.979L14.5207 8.49996L10.979 3.54163Z\" fill=\"white\"><\/path><path d=\"M6.021 3.54163H2.8335L6.37516 8.49996L2.8335 13.4583H6.021L9.56266 8.49996L6.021 3.54163Z\" fill=\"white\"><\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tPhysicians letter detailing child\u2019s health history and current physical examination.\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-62c983b elementor-position-inline-start elementor-view-default elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"62c983b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"17\" height=\"17\" viewbox=\"0 0 17 17\" fill=\"none\"><path d=\"M10.979 3.54163H7.7915L11.3332 8.49996L7.7915 13.4583H10.979L14.5207 8.49996L10.979 3.54163Z\" fill=\"white\"><\/path><path d=\"M6.021 3.54163H2.8335L6.37516 8.49996L2.8335 13.4583H6.021L9.56266 8.49996L6.021 3.54163Z\" fill=\"white\"><\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tAny additional medical records you may have that will help the medical committee in reviewing your case.\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3e3ad58 elementor-widget elementor-widget-text-editor\" data-id=\"3e3ad58\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tAll materials requested must have been generated within the last 3 months.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e2e6c3b elementor-widget elementor-widget-text-editor\" data-id=\"e2e6c3b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tWe have developed this protocol based on the conditions that our medical teams are willing to accept\/treat. Our goal is to ensure a fair evaluation process and provide parents and children with realistic expectations once they submit the necessary information to us.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-df2e14e e-flex e-con-boxed e-con e-parent\" data-id=\"df2e14e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Family Supportprogram HeartGift&#8217;s medical selection criteria includes: Be under age 14. Not have undergone previous cardiac surgery. Have a biventricular condition that can be repaired in one operation which include but may not be limited to the following types of defects: Patent Ductus Arteriosis (PDA) Coarctation of the Aorta Atrial Septal Defect (ASD) Ventricular Septal [&hellip;]<\/p>","protected":false},"author":6,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-29242","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Family Support Program - HeartGift<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/heartgift.org\/es\/familysupport\/\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Family Support Program - HeartGift\" \/>\n<meta property=\"og:description\" content=\"Family Supportprogram HeartGift&#8217;s medical selection criteria includes: Be under age 14. 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