Light System Application

Light Up To Live is dedicated to helping members of the U.S. Armed Forces and Veterans on their road to recovery by providing complimentary polychromatic light therapy systems. These systems are used to help reduce chronic pain and increase blood circulation to injured tissues.

Eligibility

• Members of the U.S. Armed Forces (active duty)
• Veterans
• Individuals living with effects of Post-Traumatic Stress, TBI, pain, and depression
• Must be able to provide proof of service documentation

What They Fund

• Polychromatic LED Light Therapy Systems - purchased and donated to partner charities that provide physical and emotional therapy
• Personal use systems - donated to Veterans for use away from physical therapy centers (home or work)
• Service Dogs - trained specifically for Veterans with post-traumatic stress and traumatic brain injury, including 24 months of training, canine food, and veterinary care
• Partner charity support - funding for innovative, scientifically backed medical therapies, including physician-assisted psychedelic compound treatment (iboga/ibogaine, ketamine, psilocybin, MDMA, 5-MeO-DMT, ayahuasca)

Geographic Scope

• United States (focus on armed forces and veterans)
• Dallas-based organization

Contact Information

• Phone: (214) 379-1445
• Email: info@lightuptolive.org
• Address: 7777 Lemmon Avenue, Suite 120, Dallas, TX 75209
• Mailing: P.O. Box 195158, Dallas, TX 75219
• Website: lightuptolive.org

Application Process

Registration Requirement: You must register with ID.me, a digital identity wallet, to prove your identity before applying.

Required Information & Materials

1. Identity Verification
   • Upload a screenshot of your ID.me account membership
2. Personal Information
   • First Name (required)
   • Last Name (required)
   • Date of Birth (required)
   • Phone Number (required)
   • Email (required)
   • Gender (required)
   • Ethnicity (required)
   • Race (required)
3. Residence Information
   • Address (required)
   • City (required)
   • State (required)
   • Zip Code (required)
4. Application Questions
   • Are you filling this out for yourself? (required)
   • If no, what is your relationship to applicant? (required)
   • How did you hear about the Light Up To Live Foundation? (required)
   • Is this your first application? (required)
   • How do you think the light system will help you? (required)
   • Name of person or organization that referred you (required)
   • Has anyone in your household ever applied for a light therapy system? (required)
   • Why are you applying for a light system? (required)
   • Awards/Honors/Accolades (required)
   • Brief comments you'd like to share (excluding personal medical information) (required)
5. Military Service Documentation
   • Branch of Service (required)
   • Dates of Service - From (MM/DD/YYYY format, required)
   • Dates of Service - To (MM/DD/YYYY format, required)
   • Type of Discharge (required)
   • DD214 (Member-4 Form) or official military ID card for active duty (required, max file size 256 MB)
6. Supporting Documents
   • Headshot photograph (required, max file size 256 MB)
   • ID.me account screenshot (required, max file size 256 MB)

Submission Process

• Complete the online form with all required fields
• Upload required documentation
• Upon receipt of your completed form, a member of the Light Up To Live team will contact you to complete the submission process
• Proof of service documentation is mandatory