READ BEFORE APPLYING:
- Financial assistance is only available in Orange, Riverside and San Bernardino Counties (California). We are unable to provide financial assistance to anyone living outside of these counties.
- Submitting an application does NOT guarantee that you will receive financial assistance.
- Please call 1-866-960-9222 if you have questions.
You are NOT eligible for financial assistance if you:
- Do not live in Orange, Riverside, or San Bernardino, California
- Have completed your surgery, chemotherapy and/or radiation
- Have no evidence of disease
- Are taking a long-term hormonal treatment only (e.g., Tamoxifen) for stage I, II, or III cancer
- Are receiving hospice/palliative care only
- Are in the process of undergoing reconstruction but not receiving any other treatment
- Stop treatment for any reason against your doctor’s advice
- Have over $6,000 in liquid assets (does NOT include 401Ks, IRAs, vehicles or personal items)
Download the Application in English
Download the Aplicacion en Espanol/Application in Spanish
Download the ĐƠN XIN HỖ TRỢ TÀI CHÍNH/Application in Vietnamese