If you have a family or personal history of cancer and are seeking financial assistance to obtain testing or to cover the cost of your test, please FOLLOW these steps:
Fill out the required information by clicking the
PINK BUTTON below, labeled Start the Financial Assistance Process
Watch for an email or call from someone on our Board for additional needed information or with a Determination
PLEASE NOTE: Requests for financial assistance can be made by
patients or their health care providers.
Our Board of Directors approve funding on a case by case basis.
1. Personal and family history of cancer
2. Healthcare provider recommendation or feedback
3. Signed Release of Information
4. Insurance coverage
5. Insurance denial documents, if it has been denied/appealed