We are currently servicing the Florida area only. Plans are in the works for expanding out of Florida.
By filling out this application, you will be considered for a free family photography session by Joe Leone Photography.
There are three easy steps to complete your application and as we know patients go through a lot, you may have a family member or close friend assist you in completing the application.
- Read the Recipient Terms And Conditions
- Download the Physician Letter to be completed by your physician
- Complete the form below
Once we have received your completed application, it will be reviewed and a priority will be assigned to it. Applications are accepted on a first-come, first-serve basis.
NOTE: THE DATE YOU SELECT BELOW IS NOT GUARANTEED AND IS SUBJECT TO YOUR APPLICATION APPROVAL WHICH INCLUDES RECEIVING YOUR PHYSICIANS LETTER.