Pilot Program Scholarship · One Unit Available

One unit.
No cost.
For the woman
who needs it most.

We’re reserving one EZ-P™ Bladder Management System at no cost for a woman who would benefit but faces financial hardship. No judgment. No lengthy paperwork.

Applications close when the scholarship unit is awarded

Before you apply

Who this scholarship is for

✓You are a woman who uses a wheelchair or mobility device full-time or part-time
✓You would benefit from EZ-P™ but face financial hardship that makes the $599 cost prohibitive
✓You are willing to share honest feedback at 30 and 60 days to help shape the product
✓You are located in the United States

Section 1 of 4

Your contact information

First Name * Please enter your first name.

Last Name * Please enter your last name.

Email Address * Please enter a valid email address.

Phone Number (optional)

City * Please enter your city.

State * Please select your state.

Section 2 of 4

Your situation

Are you applying for yourself or on behalf of someone else? * Please select an option.

Primary mobility device used * Please select a mobility device.

Current bladder management method * Please select your current method.

Insurance / payment situation * Please select an option.

Section 3 of 4

Your personal statement

In your own words, how would EZ-P™ change your daily life? *

0 words · aim for 75+

Please share at least a few sentences about how EZ-P would help.

Section 4 of 4

Pilot participation & consent

Scholarship recipients participate on the same terms as all Pilot Program participants — sharing honest feedback at 30 and 60 days. Your input directly shapes the product and supports our NIH grant application.

One recipient will be selected and notified by email within 5 business days. All applicants will receive a response.

✓

Application received.

Thank you for sharing your story. Every application is reviewed personally.

You’ll receive a confirmation email shortly, and a decision within 5 business days.

Questions? info@clarion-care.com

EZ-P™ is an FDA-Registered Class I Medical Device · Patent US12,011,402 B2

Individual results may vary. This scholarship does not constitute a clinical trial or FDA efficacy claim.

One unit.No cost.For the womanwho needs it most.