One of our leading missions at 21st Century C.A.R.E is to help patients with many of the unexpected out-of-pocket costs encountered while undergoing cancer treatment. Our goal is to ease such negative factors by providing funding of expenses such as transportation, accommodations, medical supplies, and groceries. The application process is handled efficiently by our professional staff so patients receive the assistance they need without delay.
Please note: We have funding only in certain counties in the following states: AL, AZ, CA, FL, IN, KY, MA, MD, MI, NC, NJ, NV, NY, RI, SC, WA & WV. We encourage you to call us at (239) 936-3756 to see if we have funding in your county before you submit your application.
Download Financial Assistance Guidelines
Descargar las Guías de Asistencia Financiera
Fill Out Financial Assistance Application Online
Descarga la solicitud de asistencia financiera
Download Head & Neck Cancer Financial Assistance Guidelines (Southwest Florida)
Descargar Guía de Asistencia Financiera para el Cáncer de Cabeza y Cuello de España
Fill Out Head & Neck Cancer Financial Assistance Application Online
Descarga la solicitud de asistencia financiera para cáncer de cabeza y cuello
Fill Out Medical Supplies Form Online
Download Medical Supplies Form
Descarga el formulario de suministros médicos.
Fill Out Temporary Lodging Form Online
Download Temporary Lodging Form
Descargar el formulario de alojamiento temporal