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Financial
Aid
Survivors of Cancer make a huge
family. A family in which many of the members have never met, but have
formed a common bond of experience and life trial. We understand the
challenges and the hardships of surviving. We are bound by our mutual
support, our humor, our fears, and our courage. At times we may need
support in meeting our treatment and medical costs. We are here to help.
The benefits of the financial aid: Financial
aid is available to women through
Sponsoring Survivorship who have been diagnosed with breast cancer in
Lake County. Sponsoring Survivorship is a nonprofit organization based
in this community dedicated to assisting women in their battle against
breast cancer. If you are in need of special assistance including co-payment
of medicines associated with cancer treatment or other costs directly
associated with your cancer treatment please fill out this application
and return it to Sponsoring Survivorship.

Sponsoring
Survivorship was
established to help local women cover costs associated with their struggle
against breast cancer. This application will help us to understand in
what areas we can assist you. Please remember requests should be made
for medical assistance only. For example co-payments and payments to doctors, hospitals
and pharmacies as they relate to your care.
Just click on the mini-form on the right.
It will open a full sized form. Be patient when downloading. This is a large file and may take a minute or more depending on your internet access speed. You can then print the form,
complete the form and then mail the form to:
Sponsoring
Survivorship
P.O. Box 1924
Lakeport, CA 95453
We look forward to hearing from you and having the opportunity
to offer our assistance.
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