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I am over 60 and/or high risk
I AM OVER 60 AND/OR HIGH RISK AND NEED A COVID-19 MATCH
We are preparing for the potential of a community outbreak of COVID-19 in Cincinnati by identifying healthy  adults who are under 60, whose risk factors are low and who are willing to be paired with an elder or someone with high risk factors in our community. Once a match is made you and your COVID-19 Match can coordinate the delivery of essential supplies, like food and prescriptions and also be someone who can regularly check in with those who are high-risk by phone or other electronic means.  

This match program is being organized by private citizens for the benefit of those in our community. If you have questions, you can contact cincinnatimatch@gmail.org.
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If you don't speak English or Spanish, what language do you speak?
If you are signing up a Loved One, add YOUR contact info here
Do you understand that you are financially responsible for any purchases made by your volunteer on your behalf and should be ready to compensate them upon delivery? If so, write "I understand" (If you are not able to afford your needs right now, please call us at 513-327-8583) *
Do you agree that, by completing the sign up form to be matched you agree that you accept all risk and responsibility and further hold any facilitator associated with cincinnatimatch.com harmless? *
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