Charitable Fund Application

To be eligible for the grant, please:

1. Fill out the online application below.
2. Send a letter from your physician documenting medical indication for in vitro fertilization treatment. The letter must also include treatment protocol for individual diagnosis.

These letters should be sent to:

Or scanned and emailed to: consultant@lotusblossomconsulting.com
Or faxed to: 847-881-2585

Online Application