Grant Application
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.
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
SPHF Grant Application 112011←Click to download
Once you have downloaded the form, begin to type and the form will expand to accommodate your answers. All areas of the application form must be filled out. Incomplete applications or applications containing falsified information will be declined. For all applications, a copy of all medical bills should be mailed to SPHF, PO Box 530606, St. Petersburg, FL 33747
(If you are using an older copy of the SPHF Grant Application, please download and submit the newest version updated on 11/2011 ) 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
The SPHF covers 100% of preventative care such as: Well Woman Exams, Paps, Mammograms and other preventative tests. Due to the decrease in donations, as of April 16,2012 the SPHF no longer covers dental repair such as: crowns, bridges, root canals, fillings, veneers, teeth whitening, implants and false teeth. SPHF will fund 100% of preventative Dental Exams (yearly check ups, cleaning and X-Rays) as funds are available.
Visit our informational links page for additional resources and links for medical-prescription-dental and financial assistance.