Financial Assistance from the Chris4Life Fund
We understand the large financial burden of a cancer diagnosis.  The Chris4Life fund will help ease this burden with $250 grants to qualified colorectal cancer patients.  It is our hope that the grants will help patients spend more energy on the fight to get well and less energy worrying about money. This fund provides resources directly to the needs of colon cancer patients. The grants are intended to help out with basic living expenses such as child care,transportation to and from appointments, healthy groceries, cleaning services, wigs etc.

Please read the qualifications in the form, fill out the form with the help of your doctor, nurse, or social worker and mail the completed application to Chris4Life.

Instructions and Eligibility:
To be eligible for $250.00 in assistance from the Chris4Life Fund you must:
• be in treatment for colorectal cancer.
• have a family income of less than three times the federal poverty level.
If you need help finding out if you qualify, please contact us (info@chris4life.org), or ask your social worker for help.
• not have received financial support from the Chris4Life fund within the last year.
• fill out the form below and on the next page.
• have your doctor, nurse, or social worker fill out the appropriate section of the form.
• mail the form to the address provided at the end of the brochure.
• Please be assured that all information will be kept strictly confidential.

Download the Chris4Life Fund Form (PDF)