Patient Assistance Fund
Funding Amount
Up to $500 per patient; up to $1,500 annually per clinic
Deadline
Rolling / Open
Grant Type
foundation
Overview
Patient Assistance Fund
Funder: Foundation for the Advancement of Clinical TMS (FACTMS)
Purpose: To help remove barriers to TMS therapy access by providing financial assistance to patients for TMS-related expenses.
Award Amount:
Geographic Scope: United States
Eligible Expenses:
- Income Level: Patient's income must be less than or equal to 150% of the Federal Poverty Guidelines (See Federal Poverty Guidelines documentation)
- Applicant Type: TMS clinics apply on behalf of patients
- Frequency: Clinics may reapply up to two times within one calendar year (after submitting required reports)
Eligibility Requirements
Application Process Details
1. The clinic submits a completed FACTMS Patient Assistance Fund application (Attachment A) to info@factms.org 2. Income eligibility is verified against 150% of Federal Poverty Guidelines (Attachment B) 3. Upon approval and distribution, clinic must submit a report documenting fund usage in the quarter following distribution (Attachment C), including a clinician testimonial 4. Upon receipt of approved distribution report, clinic may reapply for additional funds up to two times within one calendar year- Email: info@factms.org
- Phone: +1 615-649-3072
- Address: 5034A Thoroughbred Lane, Suite Brentwood, TN 37027
- Hours: Mon – Fri: 8:00 AM – 5:00 PM CT
Contact Information
Organization Status
FACTMS is a tax-exempt 501(c)(3) organization. Federal Tax ID#: 88-2068585How to Apply
Application Process for Clinics
1. Step 1: Complete the FACTMS Patient Assistance Fund application form (Attachment A)
2. Step 2: Verify patient income is at or below 150% of Federal Poverty Guidelines (Attachment B provided)
3. Step 3: Submit completed application to info@factms.org
4. Step 4: Upon approval and fund distribution, submit a report documenting how funds were spent within the quarter following distribution (Attachment C)
5. Step 5: Include a clinician testimonial with the report
6. Step 6: Upon receipt of approved distribution report, clinic may reapply for additional funds up to two times within one calendar year
- Completed FACTMS Patient Assistance Fund application (Attachment A)
- Income verification documentation (must be ≤150% of Federal Poverty Guidelines)
- Quarterly report on fund usage (Attachment C)
- Clinician testimonial documenting impact
Required Materials
- Email completed application to: info@factms.org
- Include all supporting documentation
Submission
Focus Areas & Funding Uses
Fields of Work
Categories
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