top of page

Avila’s Cancer Fund

Financial Assistance Guidelines

Si Habla Espanol 

 

 

1. You must be in current treatment. Applications must be verified by a social worker or physician's office signature is required on the application.

Examples of current treatment- Chemotherapy, Radiation or combination of both.

2. Applications must be signed by the patient. All forms may be emailed if you wish to come in please contact Avila's Cancer Fund for an appointment. 

3. You must have a valid California ID, DL, or verification of identity please call 559-374-8613 for more information

4. All payments will be paid directly to the vendor such as PG&E, Utilities, Landlord, or Mortgage Company, Co-Pays are made out to the facility or physician’s office. A copy of the bill must be submitted prior to payment. For lodging request a minimum of 40 miles distance from the treatment facility this approved on a case by case basis. 

5. Avila’s’ Cancer Fund offers financial assistance, and food cards while funds are available.

6. You can apply for financial assistance every six months from your first application. 

7. Please allow 5-10 days from receiving the application to be notified.

8. Question regarding our services info@avilascancerfund.org

9. Any financial assistance will be under $500.00

10. Send a copy of proof of income within the last three months. If income has changed in the last three month

please provide an explanation. 

 

 

Application must be signed by patient, and authorized representative.

email to : info@avilascancerfund.org

bottom of page