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Voice/TDD, Fax
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| Purpose:
To assist persons with disabilities (of low to moderate income) in
urban and rural areas, with the acquisition of essential low cost
medical supplies and equipment; specialized equipment repair; and
the purchase of other medically related items that will help to facilitate
independent living. |
| Goal:
To help people with disabilities sustain their independence and health,
in their own homes and communities, by providing them with the necessary
items needed to maintain self sufficiency. |
| Qualifications:
The following terms must be met: (1) The petitioner must be a person
with a disability. (2) Must first contact two other agencies for
assistance prior to petitioning the committee, and provide proof
of contacts. (3) Must complete the application process. |
| Complete and
send your application online! |
| You will need
the Adobe Acrobat Reader to view and print the application.
Click
Here
to Download the Adobe Acrobat Reader for Free. You can mail or
fax the completed application. |
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| Review:
All applications will be reviewed by committee. Approval or rejection
of an application will be by majority vote. The committee may require
the applicant's presence at the meeting and/or for a committee member
or representative to meet with the applicant at hi/her place of
residence for an evaluation. If approved, the applicant may also
be required to pay part of the cost of the item or services rendered.
Note: The committee will review a petitioner's request only once
a year. |
| Time:
The committee will take applications at any time. The applicant
should expect an answer from the committee thirty to sixty days
after submission of the application. At times it will be sooner,
other times later, dependent upon the circumstances of the case,
and meeting times of the committee. |
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