Apply for medical assistance
Tell us about the medical need, the cost and the support you are requesting. This is an initial screening form to help us assess whether Salsabeel may be able to support the case.
Please read before applying
We normally support cases where the need for medical assistance is expected to be time limited.
Click each heading to open the guidelines.
We support people in Egypt seeking help with medical costs. We normally only accept cases where the need for medical assistance is expected to be time limited, such as a one-time procedure or a defined period of treatment, rehabilitation or travel to medical appointments.
Briefly describe the condition and the care needed. Tell us exactly what you are requesting funding for, such as medication, tests, treatment, surgery, rehabilitation or transportation to medical care.
Include the estimated total cost, the amount requested, whether the support is one-time or recurring, and how long it is expected to be needed. Please mention any treatment date or payment deadline.
Our beneficiaries are usually featured on our social media so donors can see the help they are providing. Sharing their stories also helps us reach more people and grow our work so we can provide more assistance.
This is an initial screening form. You do not need to upload medical documents at this stage. We may request supporting information later if we can consider the case further.
Our resources are very limited. Submitting an application does not guarantee funding. If we can consider your request further, we may contact you for more information.
The form opens in Google Forms. You can answer in English or Arabic.
What to include
- A brief description of the condition and the care needed.
- What you want funding for, the estimated cost and the amount requested.
- Whether the support is one-time or ongoing, and for how long.
- Any relevant treatment date or payment deadline.
You do not need to upload medical documents at this initial stage. We may request supporting information later if we can consider the case further.
What happens next?
Our resources are very limited. Submitting an application does not guarantee funding.
These forms help us understand your situation and decide whether we may be able to help. If we can consider your request further, we may contact you for more information.