Financial Assistance Form
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

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.