Feminist Health Fund Application Request
The Feminist Health Fund is a non-profit group that provides assistance to women for health related expenses during times of financial hardship. Please use this application to make a financial assistance request. All other inquiries please contact us at
If you need assistance filling out this form please give us a call at (937) 767- 8949
Current Ohio County of Residence
Current City of Residence
Please briefly explain the type of assistance you are seeking
Please briefly explain your current financial situation
Send me a copy of my responses.
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