APPLY FOR ASSISTANCE
It is the goal of the Montana Pediatric Foundation to provide as much financial assistance as possible, individualized to each family. In order to do so, we will require detailed financial information. This will help the foundation better determine the full extent of financial needs.
Please complete the forms below. You can complete them online, or scan and email the following forms to: kate@mountainsofsupport.org.
ELIGIBILITY REQUIREMENTS
The child must have a cancer diagnosis, and be in active treatment.
The child must be aged 0-18.
The child must be a Montana resident.
MAIN APPLICATION
General family information so we can get to know you, your child, and how we at the Montana Pediatric Cancer Foundation can best help.
APPLICATION→
MEDICAL FORM
More details about your diagnosis and provider to make sure the Montana Pediatric Cancer Foundation is the best fit for your whole family.
MEDICAL FORM→
FINANCIAL FORM
Specific information about your family’s financial situation to understand the big picture of the challenges you’re facing.
