Financial Assistance
Programs Offered
2023 Every Penny Counts Application Package
Open this form online and type your responses; when complete save the file to your desktop and email it or print it out and fax or mail it.
2023 Greater Minnesota Every Penny Counts Application Package
Open this form online and type your responses; when complete save the file to your desktop and email it or print it out and fax or mail it.
2023 HOPWA Application Package
This form must be printed, filled out and faxed or mailed
Rental Form
Open this form online and type your responses; when complete save the file to your desktop and email it or print it out and fax or mail it.
Drug Co-pay Reimbursement Program
This form must be printed, filled out and faxed or mailed
Instructions
Please return these forms in person, by mail, or by fax to:
Rainbow Health
701 S 4th Avenue
Suite 1500
Minneapolis, MN 55415
Fax: 612-341-4057
Contact Us
In order to serve our clients, we are required to collect some information to determine eligibility. If you are interested in Every Penny Counts Emergency Financial Assistance, please complete and return the forms below. You can also request an application packet by calling 612–331–7733 or 800–565–9028.
AIDSLine
The Minnesota AIDSLine is Minnesota’s statewide information and referral service that can answer your questions about HIV and link you to help. You may reach AIDSLine by phone, text, e-mail, or live chat.