Criteria for Qualification: To qualify for assistance from The Sonia Plotnick Health Fund, you must be a woman in need of financial aid with medical bills and permanent resident of Pinellas, Hillsborough, Manatee, Pasco or Sarasota County.  All grants must be for treatment received within 90 days of your application.

Additional Information: If you meet these requirements, the SPHF Board of Directors will consider your request at its monthly meeting. If your application is approved, funds will be dispersed directly to your health care provider.  Traditional as well as alternative medical care will be considered. Depending upon the availability of funds, your request may be approved in full, in part or may need to be denied. You can apply twice per year.

Application for Financial Assistance

Fields marked with a * are required.

Please fill in all areas of the form. 

To receive financial assistance from the Sonia Plotnick Health Fund you must be a permanent female resident of Pinellas, Hillsborough, Manatee, Pasco or Sarasota Counties.

Contact Information:

By typing your name below, you certify that the information contained in the application is true to the best of your knowledge and that any funds awarded as a result of this request will only be used for the purposes set forth herein.


Please answer our anti-spam question below.

Important:

Applications must be accompanied by copies of all medical invoices/estimates for treatment.

Bills may be scanned and sent via email to the Fund Administrator at sphfapplications@gmail.com, or mailed to:

SPHF
PO Box 530606

St. Petersburg, FL 33747

Questions? Please contact the Fund Administrator at 727-482-0216