WE DON'T CARE ABOUT YOUR FINANCIAL STATUS
WE DON'T CARE ABOUT YOUR INSURANCE COVERAGE
WE DON'T CARE ABOUT WHERE YOU ARE BEING TREATED
WE DO CARE ABOUT:
Cancer Outreach Patients must live between LeChee, AZ and Church Wells, UT
You must be diagnosed with and receiving treatment for cancer
You must be able to produce a utility bill with patient (or spouse name) and physical address to verify residency in our service area.
You must be able to get your physician or oncologist to sign our form to verify you are being treated for cancer.
NO RED TAPE
Our application form is a one page form requesting your:
other family contact
date diagnosed with cancer and type
Dr. signature verifying you are being treated.
That is all the information we request. It is usually done within a couple of hours with a local physician signing, it can be emailed to us from the Northern Arizona Cancer Center, or a local Dr. office.
ONCE THE INFORMATION IS RECEIVED
We can get you a fuel card good at Maverik gas stations (one per week if regular treatments or one per treatment scheduled if varying schedules)
We can arrange lodging for you if staying out of town for radiation treatments or if you are required to be out of town because of treatments/tests/surgery etc. if done on consecutive days. (We do need a day or two advance notice for this so that we can find accommodations if hospital related rooms are not available)
THIS IS NOT A LOAN, IT IS NOT REQUIRED TO BE PAID BACK
We do not require patients or their families to repay this funding. We do ask that the patient or someone in the family assist us by volunteering so that we can continue to provide these services for other patients and their families.