Small Gift Application

Requirements

  • There are no age restrictions for the recipients for the gift.


  • You must be a resident of South Carolina living in the counties of Calhoun, Chester, Darlington, Fairfield, Florence, Kershaw, Lee, Lexington, Newberry, Orangeburg, Richland, Saluda, and Sumter.


  • You must provide a statement from your physician on their letterhead, stating that you are currently under active Therapy/treatment.  (Maintenance care will not be applicable for this benefit.  Maintenance care is routine physician visits, labs, scans, drugs, etc.)


  • A Community Resource Partner, such as a social worker, nurse navigator, or doctor, must sign the application certifying that you need assistance.


  • Along with the completed application, you must provide copies of the current bills that you are requesting assistance.


  • Eviction notices and Independent Landlords must submit additional information.  Please notify CMC to request additional forms.


  • Along with the completed application and documentation, a completed cover letter should be attached to the front of the application.


  • CMC only assist with non-medical bills.


  • All gifts are paid directly to the service provider.


  • An approved Small Gift Application is a one-time gift and is NOT a reoccurring payment assistance program.


  • Applicant must live at the same address as the submitted invoice or bill.


Please download the application and cover letter and submit to: info@cancerofmanycolors.com.


Submit questions through email to info@cancerofmanycolors.com.


We are committed to reviewing applications promptly.  However, due to the large volume of applications, we may not respond to each application within 24 hours.