Individual Assistance Application

  • Financial support is available to cancer patients who meet the CanHope Foundation guidelines. Support is limited to
    assistance with cancer-related prescription medications and equipment, and transportation to treatments.
    Proof of income must show recipients’ name and may be verified.
  • Assistance begins at application approval. Bills acquired prior to approval will not be paid by the CanHope Foundation.
  • Patient information is not shared by the CanHope Foundation without patient’s written permission.
  • Decision of patient assistance is made by the CanHope Foundation. You may request a review & explanation of assistance.

Print Application

To download and print, please click here