Family Support

Get Help

The Be Still Foundation offers financial assistance for daily living costs and compassionate emotional support, allowing families to prioritize their journey toward healing and well-being.

Family Support

Get Help

The Be Still Foundation offers financial assistance for daily living costs and compassionate emotional support, allowing families to prioritize their journey toward healing and well-being.

Patient Information

Patient Name(Required)

First Last

Patient Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Patient DOB

Phone(Required)

Email(Required)

Patient Diagnosis

Patient Diagnosis(Required)

Date of Diagnosis

Please Describe Other Diagnosis

Patients Treating Health System

Patients Treating Neurosurgeon

Patients Insurance will be Paying

Patients Financial Needs in TOTAL DOLLARS

Patients Reason(s) for Need of Financial Support(Required)

Patients Story and Desired Outcomes from FUS (2-3 paragraphs)(Required)

Patients Scheduled Date of Procedure

How Did You Learn About Be Still Foundation(Required)

Please Describe How You Learned About Us

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Be Part of Something Amazing

50% of Essential Tremor patients do not get satisfactory relief from medications or have intolerable side effects. 20% of Focused Ultrasound procedures performed are UNDER Medicare age. The average cash pay cost for Focused Ultrasound is $30,000 per side.

Be part of our mission today and help us bring relief to those who cannot afford care, so they can Be Still.