REQUEST ASSISTANCE
cancer patient financial assistance
You Don’t Have to Carry Everything Alone
cancer patient financial assistance
Cancer treatment and recovery can affect much more than your health. If everyday expenses are becoming difficult to manage, Hope Between may be able to help with essential living needs while you focus on treatment and recovery.
ELIGIBILITY
Who Can Request Assistance?
cancer patient financial assistance
Hope Between provides assistance to eligible individuals affected by cancer who are experiencing financial hardship during treatment or recovery.
Cancer Diagnosis
You or the person you are requesting assistance for has been diagnosed with cancer.
Treatment or Recovery
The individual is currently undergoing treatment or is recovering from treatment.
Financial Need
Cancer treatment or recovery has created difficulty meeting essential everyday expenses.
Meeting these general criteria does not guarantee assistance. Support is based on eligibility, available funding, and the nature of the request.
BEGIN YOUR REQUEST
Request Assistance
Please tell us a little about yourself and the assistance you are seeking. This initial form helps our team understand your situation and determine the appropriate next steps.
Your privacy matters. Information submitted through this form is used to review and administer requests for assistance. Please do not submit Social Security numbers, banking information, medical records, identification documents, or other highly sensitive information unless Hope Between specifically provides a secure method for doing so.