Hello! We're glad you found us - we'll help you pay for your abortion!

HOTDISH Militia funds patients who reside in the Upper Midwest (MN, WI, MI, ND, SD, IA) and are receiving care at a Minnesota abortion clinic. To apply for funds, you MUST FIRST have an appointment at a Minnesota clinic.

At this time, we are only pledging to the following abortion providers:

All Planned Parenthoods in Minnesota
Whole Woman's Health of Minnesota (Bloomington)
Whole Woman's Health Virtual Services
Red River Women's Clinic
Just the Pill
M Health Fairview

HOTDISH is unable to fund the entire cost of your care, but we can cover a portion of it - typically between $300 and $600, depending on how far you are into your pregnancy. Please apply to other abortion funds to cover the remaining cost of your care.

After filling out this application, you can expect a response via email within 48 hours.

Please email hotdish@wehealthclinic.org with questions.

Do you have an appointment at one of the clinics listed above?

YesNo

HOTDISH Militia can only fund patients who reside in the Upper Midwest (MN, WI, MI, ND, SD, IA) and are receiving care at a Minnesota abortion clinic.

In order to successfully complete this application you MUST have an abortion appointment already scheduled. Please return here after you have scheduled your abortion appointment.

If you are unsure of where to schedule an appointment, find available resources in your area:

Clinic Information

What is the name of the clinic you are attending?

Planned Parenthood has their own internal funds to help cover the cost of appointments, called the Justice Fund. Have you spoken with a Patient Navigator at Planned Parenthood to be screened for the Justice Fund?

I was screened, and I DO qualify for Justice FundingI was screened, and I DO NOT qualify for Justice FundingI was not screened for Justice Funding

Please reach out to Planned Parenthood first, then complete this HOTDISH form.

You can call Planned Parenthood at (651) 698-2406 and ask for a Patient Navigator. They will be able to tell you if you are eligible for Justice Funds or if you might be eligible for Medical Assistance, which would cover the full cost of the appointment.

If Planned Parenthood tells you that you are not eligible for Justice Funding, please come back and fill out this form.

We also have other providers we work with who also have their own funding and can often provide services for a lower cost. Whole Woman's Health and WE Health Clinic offer virtual and in person appointments. We also work with Just the Pill, which provides telehealth services.

Funding for your appointment is covered!

Because you qualify for Justice Funding, you are all set! Funding for your appointment is covered, and your clinic does not require any additional payment. You do not need to submit this form or seek any further funding.

Your Information

First Name

Last Name

What pronouns do you use?

What is your preferred language?

Phone Number

Email Address

City

State

Contacting you safely

If we have a follow-up question to your application, which of the following methods can we use to contact you?

Phone call, and you can leave a messagePhone call, but don't leave a messageText message

Is it safe to identify as HOTDISH Militia in voicemails or text messages

YesNo

Appointment Information

What is the date of your appointment?

Do you know how far along in your pregnancy you are?

YesNo

How many weeks into your pregnancy are you? (enter a number)

Please estimate approximately how far along you are

First trimester (0 - 11 weeks)Second trimester (12 - 23 weeks)Third trimester (24+ weeks)

What is the cost of your appointment (if you have this information)?

What is the pledge amount you are seeking from HOTDISH?

What other abortion funds have you contacted?

Additional Information

What kind of health insurance do you have?

Enter other insurance information:

Does your insurance cover the cost of abortion?

YesNoUnsureYes, but I am unable to use it

How did you hear about us?

Is there anything else we should know?

Thanks for filling out our intake form! You can expect a response via email within 48 hours.