Online Family Application Form

Below, you have the option to complete the application in its entirety online, right on this page, or you can download the form below. 

Click here to download the application form.

Donate Now!

Donations are used to fulfilling our mission of providing non-medical financial help and support to families who have a child in long-term hospital stays through the distribution of Family Care Bags and other programs to help and support those families.


Contact Information:


Papillion, NE 68046


(531) 600-8847 

[email protected] 


Heart of Grace

 Heart of Grace is a 501(c)(3) non-profit organization with the mission to help long-term hospitalized children and their families in need, with non-medical financial needs.