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InMemory of Ethel Precht

If you think you may qualify under any of the above criteria, please click on the button below to download and print the financial assistance application. To be considered for assistance, ALL survivors MUST complete an application.

We will give financial assistance to breast cancer survivors who live in Cameron or Calcasieu Parish


A. If your diagnosis of breast cancer has been made within the last 24 months prior to your application, we will assist you with:
    -medical expenses related to breast cancer deemed necessary by a physician
    -travel (including parking at hospitals)
    -hotel where you stay and a care giver must accompany you
    -bras, prosthesis
    -wigs, scarves and other headwear
    -lymphedema sleeves-requires a signed prescription from the treating doctor ordering the     
        sleeves and/or assistance
    -other basic required living expenses as deemed necessary on a case by case basis.

You must provide us with: completed application SIGNED by your physician, date of diagnosis and type of diagnosis, copies of valid expenses. Payments may be made directly to the provider and not to the breast cancer survivor.

B. If your diagnosis of breast cancer has been made within 25 months-60 months prior to your application, we will assist you with:
    -bras
    -prosthesis
    -lymphedema sleeves-requires a signed prescription from the treating doctor ordering the     
        sleeves and/or assistance
    -medical expenses related to check ups

You must provide us with: completed application SIGNED by your physician, a doctor’s prescription ordering lymphedema assistance, valid copies of doctor visits and other expenses. Payments may be made directly to the provider and not to the breast cancer survivor

C. Over age 62 with a diagnosis past the 5 year mark. We will assist with:
    -bras
    -prosthesis
    -lymphedema sleeves - with a prescription from a doctor and a completed application SIGNED
        by your physician.