Financial Assistance Guidance

Cove Cause for Cancer – Serving Blair and Bedford County, PA

Cove Cause for Cancer strives to provide support for individuals going through their cancer journey, affiliates, as well as honoring those who have survived. Cancer patients may apply for financial assistance with cancer-related expenses through Cove Cause for Cancer. Each year, the majority of the funds we raise are donated to organizations who distribute money to cancer patients residing in Blair and Bedford County, PA.

Request Guidance to Receive Medical & Essential Expense Assistance

Patient Questionnaire

Are you or someone you know in need of financial assistance during or after your cancer journey?

We are unable to directly disperse financial aid, but provide us with some information below so we can guide you in the right direction.

Fill out the form below using the online form or the downloadable form to be added to our database to receive any helpful information we have to pass on and to be invited in any future events. Please fill out each field as best as you can so we can better assist you.

Please be sure to click “Submit” at the end of the form, or email the downloadable flyer to [email protected].

Patient’s Name:*
Patient’s Address:*
Street Address City State ZIP Code
Patient’s Phone Number:*
Patient’s Email (if available):
Your Name:*
Where is the patient in their cancer journey?*
What type of cancer does the patient have?*
How long has the patient been on their journey?*

Download Patient Questionnaire