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FINANCIAL ASSISTANCE: Cancer care can be expensive, we may be able to help. We help with co-pays, medical bills, alternative cancer treatment costs, and every day expenses like utility assistance, mortgage or rent.
Martial Status?
Number of dependents in your household?
Are you currently employed?
Are you currently receiving funds from any of the following sources?
Are you currently undergoing treatment?

Please upload documentation of diagnosis for proof of request. For example: a letter from your doctor or a pathology report stating your diagnosis. 

Upload Diagnosis File

For financial assistance, please upload a copy of the bill you need help with. For example: medical bill, power bill, mortgage or rent. Lorie Legacy does not make cash payments to individuals.

Upload Bill File

by checking the box below, you are confirming that your answers are true and complete to the best of your knowledge.

Thanks for Submitting!

Need help understanding the options?
CANCER ADVOCATE: Need someone to be at your oncology visit so you don't go it alone, we can help. We can be a shoulder to lean on, and possibly help you know what questions to ask your doctor, and provide you a summary of your visit so you can better understand what you discussed with your doctor. This is a free service, yeah free! Service area includes Birmingham Alabama, Talladega County, Calhoun County.
We require 5-business days advanced notice to accompany you on a visit to your oncologist.  
Cancer Advocate Request Form
Choose a time

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