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Patient assistance
If you've been diagnosed, start here.
A short, private application — no fee, no judgment, no paperwork beyond the basics. We follow up within a week, usually sooner. Most families get a yes.
≤ 1 wk
Typical reply
$0
To apply
100%
Confidential
Who we serve
Any cancer, one door.
If cancer is part of your story, you likely qualify — any type, any stage. And if we're ever not the right fit, we'll help you find someone who is.
Any cancer, any stage
✓ Applicant must be undergoing active treatment or just diagnosed.
✓ Currently in treatment or within 6 months post-treatment
✓ Insured or uninsured — both are welcome
Support that goes further
✓ Genetic testing & BRCA / preventive-surgery support
✓ Nutrition & lifestyle programs for those at higher risk
✓ Served nationwide — no fee, no judgment
Based in Martinsville, Virginia, MLC Cancer Foundation serves families facing cancer nationwide. Questions about eligibility? Email mlccancerfoundation@gmail.com.
Financial assistance
Helping Ease the Financial Burden of Cancer
A cancer diagnosis can bring unexpected financial challenges. At MLC Cancer Foundation, we provide financial assistance to help patients and families manage essential expenses during their cancer journey.
Our goal is simple: Ease financial stress so individuals can focus on what matters most — their health, treatment, and recovery.
Together, we can make a difference.
How MLC can help
Financial assistance may be used toward a variety of essential expenses, including but not limited to:
Medical Expenses
Medical bills, co-pays, medications and treatment-related costs.
Personal & Recovery Needs
Wigs, prosthetics, post-surgery garments and other recovery-related expenses.
Housing Expenses
Rent, mortgage payments and essential household expenses.
Transportation
Gas, parking and transportation to medical appointments.
Groceries & Nutrition
Food, groceries and nutritional needs.
Family Support
Childcare and other essential needs that arise during treatment.
Support When You Need It Most
We understand that every cancer journey is different. Financial assistance is considered based on individual circumstances, demonstrated need and available foundation resources.
How it works
Three steps. About 10–15 minutes.
1
Fill the application.
One short form — diagnosis, treatment status, and the bills you need help with.
2
We follow up.
Within a week you'll hear from Pat or a board member directly. We may ask for a short treatment letter from your provider.
3
Paid to you.
Approved funds are sent directly to you, so you can put them toward the bills that matter most — medical costs, groceries, or childcare.
Begin application
Confidential. Thorough. Honest.
This is the full assistance application — about 10–15 minutes. Everything you share is strictly confidential and used only by MLC to review your request. See our Privacy Policy. Questions? Email mlccancerfoundation@gmail.com.
PRIVATE
Kept securely, then deleted 3 years after your case closes.
SECURE
Your information is protected in transit and at rest.
MOST CASES APPROVED
If you meet eligibility, we want to say yes — and usually do.
Prefer paper? Download the form, print it, and fill it out. Then email it to mlccancerfoundation@gmail.com or mail it to MLC Cancer Foundation, PO Box 3582, Martinsville, VA 24115.
Personal Information
First Name
Last Name
Address
City
State
Zip
Home Phone
Work Phone
Cellphone
Date of Birth
Social Security Number
Marital Status
Ethnicity
Ethnicity: Other
Medical Information
Diagnosis Date
Primary Cancer
Stage
Diagnosis Type
In active treatment?
If not, follow-up frequency
Treatment(s) in the past 12 months
Treating Physician & Treatment Facility
Treating physician (oncologist)
Specialty
Treatment facility / cancer center
Facility Address
City
State
Zip
Facility Phone
Facility Fax
Currently receiving treatment at this facility?
Authorization
Health Insurance
Do you have health insurance?
Are prescription drugs covered?
Household Financial
Currently employed?
People in household
Family income sources
Income: Other
Total annual family income
Financial Assistance Needs
I need help with these cancer-related expenses
Expense: other
Applicant Certification
Confidential — for MLC use only.
Can I apply more than once?
Yes. Treatment cycles aren't one-and-done. Most families we help apply two or three times over the course of treatment, and each application is reviewed on its own.
Is there a maximum amount?
Awards depend on the need and the bill — we'll talk it through with you directly.
My doctor wants to refer me — what should they send?
A brief letter confirming diagnosis and treatment plan. They can email it to mlccancerfoundation@gmail.com.
What if I'm uninsured?
You're still eligible. We may also connect you with partner organizations that help with marketplace enrollment or charity-care programs.