To be considered for assistance, a parent or legal guardian must complete an application in full for each child. If treatment will be provided by a doctor, therapist, dentist or other professional, a Provider Referral form must also be submitted.
Complete this application if you are asking for help to fund treatment by a physician or therapist for your child. Requires provider signature and treatment plan.
Complete this application if you are asking for help to fund dental treatment, hospital facility fee or dental anesthesia for your child. Requires dental provider signature and treatment plan.
Sometimes life brings unexpected hurdles, sickness or tragedy. If you find yourself needing help to maintain stability for your family we may be able to help. MHS partners with Presbyterian Children’s Homes and Services (PCHAS) for families who need assistance.