Open Door MedBank is designed for individuals (adults and children) who are uninsured or underinsured and in need of prescription medications for a chronic illness that are out of reach financially.

Providers, complete the form below, and let’s see how we can help.

Provider Referral Form: If you are a physician, nurse, social worker, case manager, or other healthcare professional, you can refer eligible patients to Open Door Medbank for assistance with obtaining free or low-cost prescription medications.

To refer a patient:
Please complete our Provider Referral Form or contact us directly by email, fax, or phone. An Open Door Medbank representative will follow up with the patient to assess eligibility and begin the application process.

If you have any questions or need additional information about our services, please don’t hesitate to connect with us. Phone: 706.323.1096, fax: 706-653-7160 or email: OpenDoorMedbank@odch.org.