Medical Aid Request Form
Are you already familiar with how RESCU works?
Please learn How RESCU Can HelpÂ
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Then, It’s time to fill out the Medical Aid Request Form! We are pleased to announce that you can now click on the link below and complete and submit your Aid Form–all online! If you’d rather do it the old school way, click on the second link below to view and download. You can fill it out and submit by fax or mail, along with copies of all pertinent medical bills … you’re well on your way!
We know that filling out forms isn’t fun. If you have any questions or concerns while filling out your Medical Aid Request Form, please reach out to us. Call us at 800.374.9215 and leave a message. Someone will call you back, prepared to help.
The faster we get all the paperwork done, the faster we can help you!
Mail to:
RESCU Foundation, Inc.
2206 N Main St. #223
Wheaton, IL 60187
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Or fax to:Â 888-299-9513
We know it seems like it would be easier to email paperwork to us, but, please do not. We take our HIPAA compliance responsibilities very seriously, and your personal information is not secure through email channels.
The RESCU Foundation Medical Aid Panel is able to consider the following for disbursement:
- Any bill or estimate from a licensed medical care provider
- Any receipt or estimate for prescriptions
- Any receipt or estimate for medical equipment
- Excessive travel expenses for medical treatments, excluding meals
- A Festival or Show income loss due to a medical issue
- Limited situations of Hardship while in recovery
Please remember to include any or all of the above, with your Medical Aid Request Form.
