Relief Program Appilcation

Needs Beyond Medicine’s Relief Program creates financial assistance grants for individuals in cancer treatment. These grants can be used to supplement living expenses not classified as a medical expense. Examples of such living expenses are transportation costs, groceries, utilities, rent and more. These grants help to provide much needed relief for adults facing the greatest fight and period of hardship in their lives.
In 2024, the maximum amount a patient is eligible for is $575. Must be a current Utah resident.

Items Needed for Application Review in 2024:
- Treatment Plan & Diagnosis template (please download and attach)
- Any items missing, your application will not be reviewed
(No phone calls or emails, all applicants will be contacted)


Max file size 10MB.
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I hereby certify that all the information provided on this form is true and correct. I understand that providing false information leads to denial of my application.
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