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Submit a Request

How Can We Help?

If you or a loved one is suffering from a life-limiting disease/illness and need assistance in the form of purchasing a comforting item or financial assistance, please complete and submit the form below.  Details are very important, please provide as much detail as possible to help limit the need for follow up questions.  

Provide the reason for needing the specific item or payment. Include information such as whether the patient is confined to a bed, the patient's financial situation, etc.

Note: If financial assistance is requested, please provide the company name and address.  Kindly note that payments cannot be made to individuals. If approved, someone will reach out for the payment details.

Please include any tax or shipping costs.

Please enter the link to the item being requested.

Contact
If you require further information or wish to get in touch with us, feel free to reach out by sending an email or giving us a call. Our team is ready to provide assistance. Should you feel your inquiry meets the necessary criteria, please proceed to our request page for further guidance.

300 W. Wilson Bridge Rd, Worthington OH, 43085

614-436-9404

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