Grants For Individuals
If you would prefer to submit the form by post/email, click here to download a PDF for printing, to complete and post or scan for emailing.
Before starting the Application form below please ensure, where possible, you have to hand the supporting information requested.
This will be processed in accordance with our Privacy Policy and will help to ensure a speedy and successful application.
Please state clearly what the grant is needed for and what benefits you are expecting.
- 1. Quotation for service or equipment (file or scanned document)
- 2. Supporting letter/document from Healthcare professional (physical or mental health)
- 3. Supporting letter/document from Social work professional or Independent Evidence of Financial need i.e. Household Income and outgoings (annual or monthly)
If you leave this page before submitting the form, the information you have entered will be saved for your return.
You will receive an automatic notification from the charity when your application is received. If not please email the charity at info@warwickshirehealthcharity.org.uk
If you have not heard of an outcome from the charity by eight weeks after your application then please email the charity at the same email address.
Individual Application
"(Required)" indicates required fields
Individuals
- Disabilities
- Long-term conditions
- Rehabilitation
Organisations
- Charities
- Hospices
- Respite care
Medical Projects
- Equipment
- Buildings
- Research & teaching
- Medical student bursaries