treatment assistance
An important part of our mission is to help relieve the financial burden that undergoing treatment for can put on a patient and their family. If you or someone you know is currently undergoing any type of treatment (surgery, chemotherapy, or radiation) for a gynecological cancer and needs financial assistance please fill out the form below.
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Types of financial assistance that we cover:
Medical Bills, Transportation Services, Groceries, Gas
**Please Note - we are currently only accepting applications for NWI and Chicagoland residents and there is a limit of $800.00 per year. This amount is available to you for 12 months from the time of your initial disbursement and cannot exceed the annual limit.
You will be contacted with a decision within 10 business days of application submission. Coverage for groceries and gas will be given in the form of a gift card. Coverage for medical bills/transportation services will be paid directly to the servicer provider.
If you prefer to print a form and email it back to us, you can download a form here.