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Become A Client
Beauty Bus Foundation serves clients with the following diseases and disorders:
- ALS (Lou Gehrig's Disease)
- Multiple Sclerosis
- Muscular Dystrophy
- Parkinson's
- Spinal Cord Injury
- Stroke
- Cancer
... AND their primary caregivers.
Most of our clients are referred by Social Service Agencies or doctors, nurses and hospitals.
To become a Beauty Bus Client a Client Caregiver Application (PDF) must be filled out.
We also need a Doctor Release Form (PDF) completed by the potential client's physician to verify their ability to receive our services.
In addition, client's must also complete a HIPAA Authorization Form (PDF).
Once this is done, the client will receive a call from Beauty Bus to set up an appointment.
Clients may receive 4 complimentary visits per 12 month period. To receive more than 4 services, Beauty Bus asks that the client make a personally meaningful donation to the organization so that we can continue to serve those in need.
Download Forms Here
Client Caregiver Application (PDF)
Doctor Release Form (PDF)
HIPAA Authorization Form (PDF)
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