Alamo Head Injury Association stays committed to helping improve the quality of life for brain injury survivors and their families in the Bexar county and surrounding areas. Due to the COVID 19 pandemic, we have created a fund to aid those directly effected by the pandemic. Please fill out the form in its entity. Decisions will be made on the merit of the anticipated benefit to the brain injury survivor. If you have questions, please contact us at ahia@alamoheadinjury.org.


NOTE: We require all applicants to have sustained a moderate to severe brain injury that has impaired function and/or quality of life. All applicants will have to provide proof of disability and hardship.

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* 1. Applicant's name

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* 2. Address

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* 3. E-mail

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* 4. Phone number

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* 5. What is your brain injury?

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* 6. What is your disability status?

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* 7. Have you experienced a loss of income or an additional expense due to COVID 19 pandemic?

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* 8. Select for what need you are requesting funding.

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* 9. How did you hear about this assistance program?

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* 10. Additional comment

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