The Male Factor Infertility Fund
(MFIF)
Introduction
&
Instructions
Introduction
&
Instructions
The Hadwin Family Foundation Male Factor Infertility Fund was developed to directly assist
individuals and families with the barriers associated with male factor infertility testing,
diagnosis, and treatment. Unfortunately, infertility has a longstanding social stigma attached to
it which is even more prominent when diagnosing and treating male factor infertility. In
addition to the social stigma that still surrounds diagnosis and treatment, families are far too
often further burdened by the cost of diagnostic testing, treatment options, and access to a
qualified male factor infertility specialist.
Our goal at The Hadwin Family Foundation has always been to provide the most access to
family building grants and avenues as possible, and we are honored to be able to offer the Male
Factor Infertility Fund (MFIF) in partnership with The Center for Reproductive Medicine (CFRM)
and Dr James Gilbaugh to the Kansas community. Dr. Gilbaugh is a board-certified urologist
who is fellowship trained in male reproductive medicine and surgery. He has over 30 years of
experience in treating male factor infertility and also has a passion for impactful philanthropic
services.
To be considered for the MFIF, applicants must meet the following criteria:
-
Must be a legal, permanent resident of Kansas.
-
Must be a prospective or current patient at the Center for Reproductive Medicine (CFRM) requiring male factor infertility assessment.
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Must demonstrate financial need.
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Must submit a complete application during the open window.
Eligibility
Eligibility
Grant Details
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Award Amount: Up to $1,500 in financial assistance for associated diagnostic testing.
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Recipient Count: Two patients are selected and awarded per year.
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Provider: Volunteer comprehensive exams are provided by Dr. James Gilbaugh, a board-certified urologist at CFRM.
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Direct Payment: All monetary funds are paid directly to Heartland Pathology for necessary diagnostic testing.
The MFIF provides crucial access to patients through a combination of services which include volunteer comprehensive exams with Dr Gilbaugh at CFRM as well as limited financial assistance for associated diagnostic testing.
At this time, the MFIF is awarded to two patients per year with applications submitted March 1st through March 31st via The Hadwin Family Foundation website only, www.thehadwinfamilyfoundation.org.
Recipients will be selected and notified by March 7th.
Deadline
Deadline
Please read the application carefully, fill it out truthfully and as completely as possible, and be sure to attach all required documents. You may be asked to provide proof of employment and income to verify your financial need, so please have your W-2s and personal income tax documents ready and available. All insurance or employee benefit claims will be verified with a CFRM representative prior to any fund distribution.
All monetary funds allotted for diagnostic testing will be paid directly to Heartland Pathology and will be restricted to necessary diagnostic testing only as determined by Dr Gilbaugh. Funds will be awarded only for fees not yet received or incurred and cannot be applied retroactively. We hope to be able to expand coverage to limited surgical interventions in the future, but at this time this time these services are not covered by the Foundation. If Dr Gilbaugh determines a procedural or surgical intervention is necessary, this will be at the cost of the patient should they choose to proceed.
The Foundation does not discriminate based on race, religion, ethnicity or national origin, age, or sexual orientation, and all timely, complete applications will be considered. If you apply and are not selected as a fund recipient, you may apply for the fund in another application cycle, however you will be required to submit a full application each time. If you have application specific questions, please email The Hadwin Family Foundation at info@thehadwinfamilyfoundation.org. For any medical questions regarding your infertility diagnosis and medical criteria, please contact your physician or representative at CFRM. Other than the medical criteria verification form, please do not provide medical records to the Hadwin Family Foundation. Lastly, and most importantly, thank you for applying for the MFIF and trusting us to review your application. We know firsthand the toll that infertility testing, diagnosis, and treatment can have on a family. Every member on our selection committee has personally dealt with infertility as well as been through IVF treatment.
We truly hope that the MFIF helps alleviate some of the burden for you and your family as you navigate your own infertility journey.
- The Hadwin Family Foundation
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Two ways to apply:
Option 1:
- Apply in real-time on the below form.
- Dedicate appx. 10-15 minutes per section.
- There are a total of 5 sections.
- We recommend you dedicate at least
1 hour to complete the form in full.
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Option 2:
- Apply at a time that is convenient for you.
- Download this form to preview all questions in each section.
- Fill out the PDF download and attach below or use to fill out the online form below.
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