APPLICATION FOR SPHF GRANT
To receive a health care grant from the Sonia Plotnick Health Fund (SPHF), You must be a permanent female resident of Pinellas, Hillsborough, Manatee, Pasco, or Sarasota Counties and not have the financial resources to meet your healthcare needs.
The SPHF covers 100% of preventative care such as: Well Woman Exams, Paps, Mammograms and other preventative tests.
As of April 16,2012 the SPHF no longer covers any dental repair, surgery or replacement procedures, such as: crowns, bridges, root canals, fillings, veneers, teeth whitening, implants, periodontal procedures, medication for periodontal disease, medications for dental surgeries , flouride treatments or false teeth. SPHF will fund 100% of preventative Dental Exams (yearly check ups, cleaning and X-Rays) as funds are available. Click here to visit our dental assistance page for dental resources in your area.
You may submit your application online by attaching it to your email and sending to SoniaPlotnick@Yahoo.com or you many print the application form below and send by mail to: PO Box 530606 St Petersburg Fl. 33747. All areas (top and bottom of the application form) MUST be filled out. Incomplete applications or applications containing falsified information could be declined.
SPHF Grant Application 112011←Click to download
If you are unable to download the application, please send us a SASE ( Self Addressed Stamped Envelope) with a request for the application form and we will send you a copy. Mail your SASE to: SPHF PO Box 530606 St Petersburg Fl. 33747.
For all applications, a copy of all medical bills should be mailed to SPHF, PO Box 530606, St. Petersburg, FL 33747.
Do not contact SPHF board members directly for assistance. Your confidentiality is very important to us. All requests for funds must be accompanied by the completed application form and submitted electronically or by mail.