Get The Support You Need
Patient Eligibility
The following minimum qualifications are required to be considered for our Patient Financial Assistance (PFA) program grant:
- Patient must be a Georgia resident living and/or receiving treatment in our Metro Atlanta service area, which includes: Cherokee, Clayton, Coweta, Cobb, Dawson, DeKalb, Douglas, Fayette, Forsyth, Fulton, Gwinnett, Hall, Henry, Newton, Paulding, Rockdale and Walton counties.
- Patient must be at least 18 years old.
- Patient must be diagnosed with cancer and able to provide written documentation of the diagnosis from a healthcare provider.
- Patient must be in active treatment (chemotherapy, radiation therapy, hormone therapy, cancer-related surgery, etc.) or within a 12 month period following cancer treatment, and able to provide written documentation of treatment status from a healthcare provider.
- Patients who meet these qualifications are further screened for financial need in accordance with our guidelines.
"Thank you so much for the grant. You helped me in the hardest time in my life!"
— Breast cancer survivor
Atlanta Cancer Care Foundation provides assistance to cancer patients in the metro Atlanta area through our Patient Financial Assistance Program.
Application Process
- Applicants must be referred by a healthcare professional (i.e., social worker, physician, physician assistant, nurse, or patient account representative) via a completed and signed Application for Patient Financial Assistance. The referring professional must be able to verify the patient's cancer diagnosis and treatment status as current or completed within the previous 12 months.
- If you are seeking assistance for yourself or a loved one, contact your oncologist or treatment facility and request a referral. Many providers in our service area have our application, or you can download it from this page.
- The application must be completed in full and signed by the applicant and the referring professional. Applications may be submitted by fax to (678) 348-7523 or email to [email protected]. ACCF will review for eligibility and contact the patient for additional screening. Applications are generally processed within one business day of receipt.
