If you are a young adult diagnosed with a life threatening illness or a family member or caregiver seeking assistance on their behalf, please contact us at email@example.com. Include as much information as you can about your current circumstances, diagnosis, family situation, and financial need. Be as specific as you can and include your name and contact telephone numbers. We will reply within 72 hours. Please note that if we are able to consider providing financial assistance, medical release authorizations will be required. Funding is provided to creditors on behalf of individuals and direct cash grants are not given.
If you are a caregiver, family member supporting a loved one or young adult who is fighting a life threatening illness, please visit our Patient Resources page for additional information on other services that may be available to assist you.