Qualifications

  • The child must be between the ages of 3 and 17
  • The child must have a documented chronic or terminal diagnosis.
  • A child who has been diagnosed as being “in remission” is eligible for up to one year from the remission diagnosis.
  • The child must reside in:
    • A 30-mile radius of Mason City, using a straight-line calculator
    • A 35-mile radius of Watertown
    • Within city limits of Fort Collins
  • The child must reside at least 50% of his/her time in the home where the work will be done.
  • If the dwelling is not owned, permission must be granted by the landlord in writing.
  • The child has not been a former recipient of a bedroom makeover by MHP or another organization of its kind
  • Applying for a bedroom makeover does not guarantee acceptance.
  • A healthcare provider’s signature may be requested and required before any work can be done on the room.

MHP Online Application:

 

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My Happy Place Application

    Eligible homes are within 30 miles of Mason City, Iowa, Des Moines, Iowa, Fort Collins, Colorado, and 35 miles of Watertown, South Dakota
    If no, you must submit written permission from your landlord to proceed with the bedroom makeover.
    ***This may affect our decision in regard to your application. ***While not necessary, a photo of your child would be appreciated.
  • IMPORTANT: You may be asked to submit a Healthcare Professional Form, verifying your child's diagnosis. While we know this can hold up an application, we must have one on file before any work is done on the room (if this form is required by the MHP Affiliate). You may submit the actual application asap, but if application is accepted, this form must be completed by the child's healthcare team before any work is done on the room. You may print off this form to take to your child's healthcare provider to have them sign and mailing it to the MHP Affiliate's address or direct the healthcare provider to: http://myhappyplacemc.com/healthcare-professional-form/

 

For a printable version of application, CLICK HERE.

You may also print the application and mail it to:

My Happy Place PO BOX 982 Mason City, IA 50402

My Happy Place 1219 Cliffrose Ct. Fort Collins, CO 80525

My Happy Place PO Box 1281 Watertown, SD 57201

(Please mail to the location nearest the child’s home.)