Financial Assistance Application

How can MDFF help your family?

MDFF will assist with any equipment, item or service that promotes quality of life, independence, mobility, or safe living.

While advancements and treatments provide hope, our immediate goal is to provide families with equipment and services to help reduce or eliminate some of the day-to-day challenges that go with living with neuromuscular diseases.

Please complete the form to the right to get started. 

The applicant must be diagnosed with muscular dystrophy or a neuromuscular disease (see applicable diseases listed on the MDA website)

Click here to read the full MDFF Agreement & Waiver.

By clicking this box I certify that I have read and fully understand the MDFF Agreement & Waiver in case I am granted full or partial funding for a piece of equipment or home modification. (The document is on this webpage in the paragraph section.)


If you are not a resident of Indiana, please do not complete a form. Our organization only serves residents of Indiana.