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Shriners Hospitals Application for Treatment
Shriners Hospitals for Children is committed to helping children with orthopaedic problems, burns, spinal cord injuries, cleft lip and palate, and certain other health conditions, lead fuller and more productive lives.
Children up to age 18 are eligible for care at Shriners Hospitals for Children if, in the opinion of our physicians, there is a reasonable possibility they can benefit from the specialized services available. Acceptance is based solely on a child�s medical needs. A family's income or insurance status is not criteria for acceptance as a patient. If you know of a child we can help, please have the family fill out a patient application and mail it to the nearest Shriners Hospitals for Children. Download an application for treatment: English Application Help (pdf) If you have questions about the application, please e-mail us at patientreferrals@shrinenet.org or call (800) 237-5055; or (800) 361-7256 in Canada. Both lines are staffed weekdays between 8 a.m. and 5 p.m. EST.
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Shriners International Headquarters 2900 Rocky Point Dr. Tampa, FL 33607 (813) 281-0300
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