Online Client Intake

** Financial assistance is limited to those that RESIDE in Medina County ONLY. **

United Way Financial Empowerment participation may be REQUIRED PRIOR TO FINANCIAL ASSISTANCE

Love INC of Medina County, Love in the Name of Christ, is a resource and referral nonprofit, Christian helping agency.

A complete and correct intake form will expedite the process and help us provide you with resources and referrals in a timely manner.

We reserve the right to verify all information on the intake form.