Medical Relief Fund Application

The Milk Bank, similar to a blood bank, relies on donations and fees from recipients to offset expenses associated with testing, pasteurization, and shipping. Typically, recipient fees are covered by hospitals for inpatient use. Outpatients may contact their insurance providers for reimbursement information. For families with medical need and financial or other barriers, The Milk Bank also offers Tre’s Medical Relief Fund – an application-based sliding scale program. Questions are always welcome at 317-536-1689.

Requests for assistance may be submitted electronically using the form below or by downloading and returning this form with attachments to:

The Milk Bank
Attn: Director of Clinical Operations
5060 E. 62nd St., Suite 128
Indianapolis, IN 46220

All applicants to Tre’s Medical Relief Fund must also complete an outpatient information packet. This form is available electronically or via download. Both sets must be completed and returned before a determination of medical relief fund application can be made.