Low Risk Volunteer Form

I am a low-risk volunteer and can offer assistance.

In order to help ensure individuals who are more at risk of developing serious complications from Covid-19 can still meet their basic needs, Merit Cares is offering a matching service between individuals who are high-risk and those who are low-risk for the remainder of the pandemic or until one of the two is no longer in need or able to help. For the purposes of this form, individuals who are considered low-risk include those who are under 65 years of age and who are not immunocompromised due to underlying health conditions or cancer treatment, those without chronic lung disease or asthma, people without heart disease, liver disease, renal failure, diabetes, sever obesity, and other underlying conditions.

Once a match is made, you and your COVID-19 Match can coordinate the delivery of essential supplies, like food, toiletries, and prescriptions. You can also help your match feel less isolated by checking-in on the phone or by other electronic means on occasion. Please follow all directions provided by the CDC to mitigate community spread.

This match program is being organized by Merit Cares for the benefit of those in our managed communities. By completing the sign up form to be matched you agree that you accept all risk and responsibility and further hold any facilitator associated with Merit Cares and Merit, Inc. harmless. For any additional questions, please contact Merit Cares at (813) 381-5435.

We will match you with someone in your community as soon as an individual with a request becomes available. 

*****IMPORTANT:  During deliveries of supplies or any other contact made between neighbors, social distancing as recommended by the CDC (https://www.cdc.gov/) shall always be followed.  Volunteers shall not come within less than six feet of any neighbor who they are helping at any time.  Volunteers are asked to never enter the home of any high risk individuals unless it is an emergency situation.

All grocery purchases should be ordered and paid for through the Pubix Online shopping link (https://www.publix.com/shop-online) or other similar local site.  Volunteers shall not pay for or collect payment from home bound residents at any time.  Volunteers are not responsible for locating items that are not available at the time of ordering.

By clicking “I agree” above, I certify that I am at low-risk of developing serious complications from Covid-19, as determined by the CDC and that, I agree that I would like to be contacted by Merit Cares to receive a match. By completing the sign up form to be matched and clicking “I agree” below, I agree that I accept all risk and responsibility and further hold any facilitator associated with Merit Cares and Merit, Inc. harmless. I agree that I would like to be contacted by Merit Cares to receive a match *

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