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Guidelines for Application
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Journey of Hope was founded by friends who have experienced the serious emotional, physical and financial challenges well known to those dealing with cancer. Our mission is to provide financial and emotional support to those in need.
To request a funding application - please see your oncology social worker or call the JOH office at 216-262-0612.
ELIGIBILITY (REQUIRED CRITERIA):
- Must be an adult cancer patient 18 years or older
- Must have been diagnosed within the past twelve months
- Must be in active treatment (maintenance drugs are not considered active treatment)
- Must be a permanent residence of Cuyahoga, Lake, or Lorain County
- Must be referred by an oncology social worker at the patient’s treatment facility
- Must be able to demonstrate a critical or emergency need for financial assistance (see “What We Fund” below)
- Must not have received financial assistance from other cancer related agencies in the past year
- Optional: If you were diagnosed between the ages of 18-39 & currently in a documented clinical trial
HOW TO APPLY:
- Obtain current application for assistance through social worker
- Complete ALL application information sections legibly and in pen
- Oncologist must complete physicians section with all required information and signatures
- Social worker must complete referral section with all required information and signatures
- Clearly identify area of financial need and an explanation of medical circumstances
- Sign and date all three required signature areas (privacy statement, publicity release and applicant permission)
- Provide copies of entire bills for the areas you have checked as an urgent need.
- On your behalf, the referring social worker must review and summit the application directly to Journey of Hope
CONDITIONS FOR FUNDING:
- Financial awards are NOT immediate, automatic or guaranteed and we regret that we cannot provide funding to everyone who applies
- Incomplete applications will not be considered and will be returned to the applicant
- All information provided will be verified with oncologist/social worker and creditors
- Funding MAY BE UP TO $500.00 based upon available funds; however less may be awarded
- Applications are ranked on urgency and you will be notified of your funding status
- Funding is made directly to the service provider & no reimbursements are made to the applicant
- This is a one time award and cannot be repeated
- Journey of Hope reserves the right to make all final decisions
WHAT WE FUND: (**bills must be enclosed with the application):
- Rent and security deposits
- Mortgage payments
- Essential utility bills (gas, electric, water/sewer, and telephone)
- Medical insurance premiums
- Hospital/medical expenses (we do not fund for co-pays)
- Prescription expenses – must be set up through our pharmacy partner, Diplomat Pharmacy
- Medical supplies/equipment
- Automobile expenses (restricted to auto payments and auto insurance)
Bills submitted will need to be updated for current status when your funding takes place. Journey of Hope will communicate with the patient/family as well as the service providers to ensure that this action takes place.
WHERE TO SUBMIT THE APPLICATION:
Please submit your completed application to the Journey of Hope office at P.O. Box 40552, Cleveland, OH 44140. We are no longer able to accept faxed applications.
The Executive Committee will review requests monthly contingent upon available funding. We regret we are unable to guarantee that every request will receive maximum funding. Journey of Hope reserves the right to make all final decisions.
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