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Requests for financial assistance can be made by patients or their health care providers.
Our Board of Directors approves funding on a case by case basis. Topics of interest to the board when reviewing requests for funding (include but are not limited to):
1. Personal and family history of cancer
2. Healthcare provider recommendation or feedback
3. Insurance coverage
4. If an insurance denial has been appealed
If you have a family or personal history of cancer and are seeking financial assistance. Please complete the risk assessment form and e-mail to firstname.lastname@example.org or call 402-659-3438.