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How to Apply

If you are a patient or family member in need, simply complete the application in the link below or call(219) 924-8178 ext. 234 to start the process of receiving assistance.

Applicant Requirements for Assistance

In order to be eligible for financial assistance from The Northwest Cancer Centers Foundation, you must:

  • Be in active treatment or within 3 months of receiving treatment for an Oncology diagnosis in Lake, La Porte or Porter Counties, Indiana
  • Complete the Assistance Application Form
  • If requesting utility assistance, you must provide a bill or documentation for the requested assistance

The Northwest Cancer Centers Foundation can assist with the following expenses:

  • Utility bills (including electric, phone for 1 land or cell phone, basic internet)
  • Child care or Elder care to a licensed provider with documentation
  • Groceries
  • Transportation to and from appointments via cab, ride share service, or gas station gift cards

We ARE NOT able to assist with the following expenses:

  • Rent & Mortgage Payments
  • Health, Life, or Home Insurance
  • Entertainment Service Bills (Cable, Direct TV, Streaming Services, etc...)
  • Any services or reimbursement to providers at The Northwest Cancer Centers, other medical providers or pharmacies.

Applying for Assistance from The Northwest Cancer Centers Foundation

If you are a patient or family member in need, simply call (219) 924-8178 ext. 234 to start the process of receiving assistance.

If you have been directed to fill out the Assistance Application Form, please click on “Complete the Assistance Application Form” below.