[et_pb_section fb_built=”1″ _builder_version=”4.5.1″ _module_preset=”default” background_enable_color=”off” custom_padding=”0px||0px||true|false” top_divider_style=”wave2″ top_divider_color=”#ef98be” bottom_divider_color=”#ef98be” da_disable_devices=”off|off|off” da_is_popup=”off” da_exit_intent=”off” da_has_close=”on” da_alt_close=”off” da_dark_close=”off” da_not_modal=”on” da_is_singular=”off” da_with_loader=”off” da_has_shadow=”on”][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”3.22″ custom_margin=”4px|||||” da_disable_devices=”off|off|off” da_is_popup=”off” da_exit_intent=”off” da_has_close=”on” da_alt_close=”off” da_dark_close=”off” da_not_modal=”on” da_is_singular=”off” da_with_loader=”off” da_has_shadow=”on”][et_pb_row _builder_version=”4.5.1″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” min_height=”922px” custom_padding=”0px||0px||false|false”][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text quote_border_color=”#ec5f9e” content_tablet=”<\/p>\n
READ BEFORE APPLYING:<\/strong><\/span><\/span><\/p>\n <\/strong><\/p>\n You are NOT <\/span>eligible for financial assistance if you:<\/strong><\/p>\n <\/a><\/p>\n DOWNLOAD THE APPLICATION<\/span> Submit your completed application by:<\/strong><\/p>\n Mail:<\/strong> Breast Cancer Solutions, 25422 Trabuco Rd. #105-167, Lake Forest, CA 92630 Please call 1-866-960-9222 if you have questions<\/p>\n ” content_phone=”<\/p>\n READ BEFORE APPLYING:<\/strong><\/span><\/p>\n <\/em><\/strong><\/p>\n You are NOT eligible for financial assistance if you:<\/strong><\/span><\/p>\n <\/a><\/p>\n Application <\/a><\/a>Submit your completed application by:<\/strong><\/span><\/p>\n ” content_last_edited=”on|tablet” disabled_on=”off|off|off” _builder_version=”4.5.1″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” link_option_url_new_window=”on” hover_enabled=”0″]<\/p>\n <\/p>\n READ BEFORE APPLYING:<\/strong><\/span><\/p>\n <\/strong><\/p>\n You are NOT <\/span>eligible for financial assistance if you:<\/strong><\/span><\/p>\n <\/a><\/span><\/p>\n DOWNLOAD THE APPLICATION<\/span> <\/a><\/a>Submit your completed application by:<\/strong><\/span><\/p>\n [\/et_pb_text][et_pb_contact_form email=”application@breastcancersolutions.org” title=”Financial Assistance Application Request” success_message=”Your form has been submitted and you will be contacted soon!” admin_label=”Application Request ” _builder_version=”4.5.1″ _module_preset=”default”][et_pb_contact_field field_id=”First_Name” field_title=”First Name” fullwidth_field=”on” _builder_version=”4.5.1″ _module_preset=”default”][\/et_pb_contact_field][et_pb_contact_field field_id=”Last_Name” field_title=”Last Name” fullwidth_field=”on” _builder_version=”4.5.1″ _module_preset=”default”][\/et_pb_contact_field][et_pb_contact_field field_id=”Email” field_title=”Email Address” field_type=”email” _builder_version=”4.5.1″ button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][et_pb_contact_field field_id=”Phone” field_title=”Phone” fullwidth_field=”on” _builder_version=”4.5.1″ _module_preset=”default”][\/et_pb_contact_field][et_pb_contact_field field_id=”Street_Address” field_title=”Street Address” fullwidth_field=”on” _builder_version=”4.5.1″ _module_preset=”default”][\/et_pb_contact_field][et_pb_contact_field field_id=”City” field_title=”City” fullwidth_field=”on” _builder_version=”4.5.1″ _module_preset=”default”][\/et_pb_contact_field][et_pb_contact_field field_id=”State” field_title=”State” fullwidth_field=”on” _builder_version=”4.5.1″ _module_preset=”default”][\/et_pb_contact_field][et_pb_contact_field field_id=”Zip” field_title=”Zip Code” fullwidth_field=”on” _builder_version=”4.5.1″ _module_preset=”default”][\/et_pb_contact_field][et_pb_contact_field field_id=”Preferred_Language” field_title=”Preferred Language” fullwidth_field=”on” _builder_version=”4.5.1″ _module_preset=”default”][\/et_pb_contact_field][et_pb_contact_field field_id=”Send_application” field_title=”Please send me an application by” field_type=”checkbox” checkbox_options=”%91{%22value%22:%22USPS Mail%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Email%22,%22checked%22:0,%22dragID%22:0}%93″ fullwidth_field=”on” _builder_version=”4.5.1″ _module_preset=”default”][\/et_pb_contact_field][\/et_pb_contact_form][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.5.1″ _module_preset=”default”][et_pb_column type=”4_4″ _builder_version=”4.5.1″ _module_preset=”default”][et_pb_text quote_border_color=”#ec5f9e” _builder_version=”4.5.1″ _module_preset=”default”]<\/p>\n Call us at 866.960.9222 or click HERE<\/a> to use our convenient contact form.<\/p>\n [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":" [et_pb_section fb_built=”1″ _builder_version=”4.5.1″ _module_preset=”default” background_enable_color=”off” custom_padding=”0px||0px||true|false” top_divider_style=”wave2″ top_divider_color=”#ef98be” bottom_divider_color=”#ef98be” da_disable_devices=”off|off|off” da_is_popup=”off” da_exit_intent=”off” da_has_close=”on” da_alt_close=”off” da_dark_close=”off” da_not_modal=”on” da_is_singular=”off” da_with_loader=”off” da_has_shadow=”on”][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”3.22″ custom_margin=”4px|||||” da_disable_devices=”off|off|off” da_is_popup=”off” da_exit_intent=”off” da_has_close=”on” da_alt_close=”off” da_dark_close=”off” da_not_modal=”on” da_is_singular=”off” da_with_loader=”off” da_has_shadow=”on”][et_pb_row _builder_version=”4.5.1″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” min_height=”922px” custom_padding=”0px||0px||false|false”][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text quote_border_color=”#ec5f9e” content_tablet=” FINANCIAL ASSISTANCE READ BEFORE APPLYING: Financial assistance is only available in […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":" Breast Cancer Solutions provides temporary financial assistance to eligible patients who are experiencing financial hardship as a result of their treatment. You may be eligible for financial assistance if you are currently in treatment for breast cancer, have financial need, and live in\u00a0Orange, San Bernardino or Riverside County (CA).<\/strong><\/p> OPTIONS<\/strong><\/p> 1. NEW: Online Financial Assistance Application<\/a> 2. Request application by mail<\/strong> 3. Download and complete application by hand\n
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<\/strong>Download the Application in English<\/a>
Download the Aplicacion en Espanol\/Application in Spanish<\/a>
<\/a>Download the \u0110\u01a0N XIN H\u1ed6 TR\u1ee2 T\u00c0I CH\u00cdNH\/Application in Vietnamese<\/a><\/p>\n
Fax:<\/strong> 866-781-6068
NEW EMAIL ADDRESS:<\/strong> application@breastcancersolutions.org (no image files please; do not use any other email address)<\/p>\nFINANCIAL ASSISTANCE<\/strong><\/span><\/h3>\n<\/p>\n
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<\/strong>Download the<\/span> <\/span>Application in English<\/a>
Download the<\/span> <\/span> <\/span>Aplicacion en Espanol\/Application in Spanish<\/a>
<\/a>Download the <\/span> <\/span>\u0110\u01a0N XIN H\u1ed6 TR\u1ee2 T\u00c0I CH\u00cdNH\/Application in Vietnamese<\/a><\/p>\n\n
FINANCIAL ASSISTANCE<\/strong><\/span><\/h3>\n
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<\/strong>Download the<\/span> Application in English<\/a><\/a>
Download the Application in Spanish<\/a><\/span>
Download the Application in Vietnamese<\/a><\/span><\/p>\n\n
\n\n
Contact Us<\/h3>\n<\/blockquote>\n
Financial Assistance<\/h4><\/blockquote>
<\/strong><\/p>
To request an application by mail, please call 866-960-9222.
Para recibir una solicitud por correo, llame 866-960-9222.<\/p>
<\/strong>Download the\u00a0Application in English<\/a>
Download the\u00a0Aplicacion en Espanol\/Application in Spanish<\/a>
<\/a>Download the\u00a0\u0110\u01a0N XIN H\u1ed6 TR\u1ee2 T\u00c0I CH\u00cdNH\/Application in Vietnamese<\/a><\/p>
You are not eligible for financial assistance if you:<\/strong><\/p>