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Request Support: Container Grant

TRIMEDX Foundation provides financial support to hospitals and clinics in the developing world raising funds for a container of medical equipment. TRIMEDX Foundation will fund the last $1,500 of the container shipment. To be considered please complete the application below and email a letter of reference from the MSRO partner to missions@trimedxfoundation.org when the container shipment becomes eligible for matching funds.

Organization Name*

Who owns/operates the facility?

Year Established

Average number of patients treated per month

Contact First Name*

Contact Last Name*

Title

Email Address*

Phone

Address, line 1

City

Zip Code

State

Country*

Please list medical services provided.*

Does the hospital have guest facilities?

Yes No

Do you have an up to date list of equipment inventory?

Yes No

What percentage of current medical equipment is working?

Have you ever used paid or volunteer repair services?

No Selection Volunteer Paid Both

What are the hospitals current needs?

We will never share your email address. Ever.

Submit Application

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Org Email | Org Phone