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Avila’s Cancer Fund

Financial Assistance Guidelines

 

1.Must be in current treatment verified by a social worker or physician office with a medical information form.

2. Applications must be signed by the patient. All forms may be emailed if you wish to come in please contact Avila's Cancer Fund for an appointment. 

3. You must have valid California ID or Drivers License

4. All grants will be paid directly to the vendor such as PG&E, Utilities, Landlord or Mortgage Company, Co-Pays are made out to the facility or physician’s office. A copy of the bill must be submitted prior to payment. For lodging request a minimum of 75-mile distance from the treatment facility.

5. Avila’s’ Cancer Fund offers financial assistance while funds are available.

6. You can apply for financial assistance every six months from your first application.

7. Please allow 5-10 days from receiving the application to be notified on grant status 

8. Documents should be emailed to [email protected]   for questions please call 559-374-8613

Application


Medical information form needs to be filled out by a social worker or physicians office of patient

Medical Information