WE CAN HELP YOU…

The Keratoconus Foundation of SA receives requests for assistance from across the country, sent either directly from the patient or through their practitioners.  We will love to be able to help in all cases but are limited by the resources available.  Hence, at this stage, we will be extending assistance to indigent patients who are not covered by any medical aid or other medical insurance plan.

An application will need to be completed and submitted for each request. The KFSA committee will review and communicate their decision to applicants directly.

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Please note that all information will be kept confidential and will not be used, or permitted to be used by any other person, without the consent of the parties concerned, or unless disclosure is clearly in the public interest.

PATIENT APPLICATION FORM

Download the application form (requires Microsoft Word) below and send it back once completed to: admin@keratoconusfoundationsa.org