Apply for Assistance

You can request assistance from the Andy's Angels foundation. If you are a drug addict or a friend or family member of a drug addict, please click on and download the form below. Fill out this form and email it back to This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

If you have any questions about requesting assistance, please send an email to This e-mail address is being protected from spambots. You need JavaScript enabled to view it . Thank you.

Download this form to apply for assistance