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Immediate Needs Fund – Request Form

The Employee Giving Committee accepts requests on Mondays and Wednesdays. Once an employee submits a request, they will receive a response within 72 hours of the request being reviewed. Due to current work conditions, there may be a delay in the disbursement of funds.

Program guidelines

To assist patients/participants who do not have access to basic necessities that affect their health and well-being.
Those who do not qualify for this program:
  • AltaMed employees including: contractors, per diem, interns and/or AltaMed fellows
  • Family members of an AltaMed employee (including domestic partner, children, siblings, aunts, uncles, cousins, nieces, nephews, and/or grandparents)
  • We do not fund requests for rent. Please submit for other necessities to offset the cost of rent.

Examples of eligible needs are:

  • Food & related items
  • Specialist appointment co-pay
  • Medication/Rx co-pay
  • Transportation to specialist appointment
  • Home essentials

If you have any questions, feel free to contact our Development Department by email at [email protected] or call us at (323) 313-9390.

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