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If you would like to apply for assistance, please click on the Child or Adult application links below.
NEW: Now you can fill out the applications online! Then print them and mail to
Sertoma Speech & Hearing Fndtn. 4443 Rowan Rd., New Port Richey, FL 34653
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A copy of the application with original signatures and supporting documents must be mailed to:
Sertoma Speech & Hearing Foundation
4443 Rowan Rd.
New Port Richey, FL 34653
BEFORE YOU MAIL, DON'T FORGET TO:
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Fill out application completely and correctly (all pages)
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Sign and date all pages where indicated
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Have witness sign and date where indicated (anyone over 21)
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Include proof of income from ALL sources
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Include copy of any and all insurance coverage

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