MS Care Foundation - How we help you

The MS Care Foundation attempts to meet the various needs of each individual patient. Our network of support enables us to provide a wide range of assistance, including medications, therapy and equipment at no cost to patients.

Our services include, but are not limited to :

Purchase of equipment
Entry ramp installations to provide access to homes
Social Worker Consultations
Transportation to and from medical appointments
Patient Education
Web site information
Resource Referrals
Medication Assistance

Assistance Request Form

If you would like to make use of this service, please complete the following form to enable us to determine how best we can assist you.

First Name*
Last Name*
Telephone Number
Email Address*
Address Line1
Address Line2
City
State
ZIP or postal code
Preferred method of contact by Mail by Email by Telephone
Please indicate below how we can be of assistance, please be aware that assistance is provided at the discretion of MS Care Foundation. We are in no way legally obligated to provide support or assistance of any kind. Offers of assistance will be made only after verification of information supplied by you, this may or may not include an assessment of your financial standing.

Please check this box to be added to our mailing list. We respect your privacy

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