Overview
Partnership Cancer Fund Application Form
The Partnership Cancer Fund was created to assist area cancer patients undergoing cancer treatment with certain medically related expenses.
Treatment can be costly, especially if you are no longer able to work or do not have health insurance. The cost of medication, durable medical equipment, nutritional supplements, and transportation to and from treatment often places an additional financial strain on families.
Without the help of the Partnership Cancer Fund, many of these cancer patients face tremendous financial hardship that can adversely affect their care and recovery.
Please consider becoming a contributor to the Partnership Cancer Fund! To request more information or a pledge card, email johnsparks@bellsouth.net or call John Sparks, Executive Director, Lowndes County Partnership for Health at (229)245-0020.
Funds help pay for
- Transportation costs to health care facility/physician to obtain cancer treatments and follow-up care
- Nutritional supplements
- Cost of durable medical equipment such as breast protheses or lymph edema sleeves prescribed by a physician and necessary for symptom management
- Cost of medications related to applicant's cancer treatment
Program Guidelines
- Funds are not available for goods and services obtained prior to date of application
- Applications accepted based on availability of funds
- Up to $1,000 may be requested during any one quarter of the calendar year beginning in January. During the remaining 3 quarters of the calendar year up to $500 may be requested.
- Program not intended to provide emergency funds
- Allow up to one month for processing application
Eligibility Guidelines
- Applicant must be currently undergoing treatment for cancer
- Applicant must be a resident of Lowndes County or under treatment by a facility or physician in Lowndes County
- Proof of income is required
- Applicant's household income must be at or below 300% of Federal Poverty Levels
How to Apply?
You must ask your hospital social worker to fill out the referral form below.
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