Patient Assistance | Southeastern Cancer Care

pATIENT ASSISTANCE Program

The goal of our program is to eliminate obstacles that prevent patients from accessing care and minimize the financial burden on patients and their families.

Transportation

Gas
Car Insurance

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Nutrition

Groceries from Food Lion

Utilities

Power
Water
Propane
Natural Gas
Rent
Mortgage

Medication

Oncology-prescribed medication from select pharmacies

English Application

Spanish Application

Program Qualifications

Be actively undergoing treatment for cancer - including radiation, chemotherapy, or within 3 months of an oncology related surgery.
Live in North Carolina counties Wayne, Onslow, or Sampson.
Meet the income requirements. Our program uses the Federal Poverty Guidelines. Assets are not used to determine the level of assistance received.

To Apply

Complete application.
Submit recent tax return.
Submit signed Treatment Verification Form from Oncology Provider.

English Application

Spanish Application

Patient Survey

If you were enrolled in our grant program in 2023, we want your feedback. Please click on the button below and fill out a brief survey about your experience. All responses will be kept confidential and will not impact your grant in any way.

Survey

Disclaimer

Please allow 72 hours for your application to be processed. We are not an emergency fund and cannot provide immediate assistance. Please remember you must actively be on treatment to qualify for the program. If you are currently on treatment, please submit your application as soon as possible to ensure you meet all qualifications. If you have been charged with a felony or misdemeanor other than a minor traffic violation within the past 10 years, you will not be eligible for assistance. If you fail a drug test while enrolled in the program, your assistance is immediately terminated, and you will not be eligible to reapply.