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If you are interested in participating in our reimbursement program, please make sure that you fill out your application completely and include all relevant receipts. By filling out this form you are certifying that these are valid expenses related to cardiology appointments. Forms can be submitted to helpingheartchildren@gmail.com (include "reimbursement form" in the subject line). You can also call 970-618-8608 for more information or to arrange other options for submitting a form.

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Filling out this form is not a guarantee of funds. Funds will be allocated based on availability 

Helping Heart Children Inc. is an equal opportunity provider.

Call us:

970-618-8608

Find us: 

 Glenwood Springs, CO 81601

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