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APPLICATIONs
 
 
 
   
A.
Applicant must be diagnosed with cancer as defined by the patient’s oncologist.
B.
Location of need
a.
Applicants are to reside and receive their treatment in the Coachella Valley:
     
i. Palm Springs
ii. Palm Desert
iii. La Quinta
iv. Indian Wells
v. Rancho Mirage
vi. Cathedral City
vii. Indio
viii. Coachella
ix. Mecca
x. Sky Valley
xi. Desert Hot Springs
C.
Financial
 
a.
The applicant must demonstrate a need for financial assistance by filling out an application and providing various documents as requested.
 
b.
Quick Application for Financial Assistance
Complete the application and fax it to (760) 699-2946
Click here to download a pdf of the Quick Application