MEDINA CARES
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Financial Assistance Form

Buzzy Bee

If you need help with household obligations during a medical crisis, please call Medina Cares at 330-461-0718, or send us a message using the form below.   

    Request Assistance Form
    *indicates a required field

    Please include, age, phone number, home address, request and medical crisis..
Submit

Do You Qualify to Receive Help From Medina Cares?  

To be considered for assistance, a client must meet some specific criteria:
  • The person has experienced a qualifying medical crisis in the past 0-9 months. 
  • The person has accounts that are otherwise in good standing. 
  • The person is employed or has an income.
  • The person has not received financial assistance from Medina Cares in the past 12 months.

By providing a full name, return contact number, needs, and description of the medical crisis/condition, each case can be properly reviewed by our Board of Directors to ensure assistance is given to qualifying individuals.

 COVID-19 Pandemic 

Medina Cares is providing Medina County COVID-19 patients (either tested positive or your family has been quarantined by physician's recommendation) with temporary financial assistance with groceries, medication and medical expenses.  Applicants must be ages 19-59.

Medina Cares will provide assistance once per household per 12-month period. 


Click here to see additional COVID-19 information and resource links.  

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M E D I N A C A R E S , I N C .
​501c3 nonprofit organization (FEN: 26-3176866)
© COPYRIGHT 2020 Medina Cares  ALL RIGHTS RESERVED.
  • Medina Cares Home
  • Events
  • Sponsors & Supporters
    • Donate
    • Tell Others How We're Doing!
  • About Us - Who We Help & How
    • Who We Help & How
    • Our Board Members
    • News & Social Media >
      • Medina Cares On Facebook
      • Medina Cares on Instagram
    • Volunteer >
      • LMC - Medina Cares Seeking Board Members
    • Contact
  • Get Financial Help
    • COVID-19 Support