Request Assistance

Eligibility Requirements for Financial Assistance:

1) The applicant must be a current resident of Wyoming.

2) The applicant must provide written documentation of cancer diagnosis and active treatment from the treating physician.

3) The applicant must include an invoice, statement, or equivalent for the financial assistance request prior to authorization of payments.

First Name
Last Name
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Eligibility Requirements for Financial Assistance:

1) The applicant must be a current resident of Wyoming.

2) The applicant must provide written documentation of cancer diagnosis and active treatment from the treating physician.

3) The applicant must include an invoice, statement, or equivalent for the financial assistance request prior to authorization of payments.

 

Contact your treatment center to ask for a letter of confirmation to be emailed to wyfoundationcancercare@gmail.com. 

Letter must include your date of birth, diagnosis, and tentative treatment end date, as well as confirm that you are being treated for cancer.

Call 307-262-0749 or email wyfoundationcancercare@gmail.com with any questions

6501 E 2nd St
Casper, Wyoming 82609

© Wyoming Foundation For Cancer Care 2021

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