HeartBridge Medical Foundation

Secure applicant intake with Firebase Authentication, VigilTrace verification, and Firestore-backed submissions.

Environment: Production

Host:

Account

Create an account or sign in. Verification unlocks the application submission section.

Full Name Email Address Password

Auth State: Signed out

Signed out

Not signed in.

Verification ensures applicants are trusted before a medical assistance application can be submitted.

VigilTrace Status: Not signed in.

Pending

Ready.

Debug

Ready.

This section becomes available after a successful VigilTrace verification.

Submission Gate: Locked (Verification required)

Locked

Requested Amount (USD) Medical Need Summary

Urgency

Provider / Hospital Name

City / State

I confirm the information is accurate and I consent to verification and review for potential assistance.

Submissions are stored securely. Verification data is used only to validate identity and reduce fraud risk.