Checklist for the application
Once you hit submit on your patient application above, you are 2/3 of the way complete with your application. We want to make sure you get your funds as soon as possible. In doing that, please send the Doctor Application to your oncology doctor or nurse as soon as possible. We will need both of your applications before proceeding with the review process.
How long does the review process take?
Completed applications are reviewed as they come in. All applications are reviewed individually, with the final decision being made by the Kickin' Cancer Support (KCS) Committee. Information you share with us is confidential. If approved, a confirmation letter with a copy of payment made will be mailed to the applicant. If the application is denied, a letter of explanation will be sent, and if further information is needed it will be noted in the correspondence.
Please allow about three weeks for the financial assistance check to be processed. A check will be issued and mailed directly to the creditor. A check cannot be made out to an individual. We are not able to process online payments.
The KCS Committee reserves the right to make exceptions to the guidelines with the exception of providing funds exclusively to cancer patients.