If you are an adult (18 or over) in the United States and have cancer treatment bills then please apply by using this form: Preliminary Donee Application
Please fill out the form in its entirety and submit it to one of the addresses on the top-right of the form. We recommend you to also include your story and some pictures to help us understand a bit more about your journey.
Currently our application windows are open in the months: January, April, July and October. If you apply in a month not on this list then we will carry over your application to the following application window.