Small Gift Application

• Cancer of Many Colors accepts all applications for review regardless of age, gender, race, ethnicity, national origin, or socioeconomic status.   
• You must be a resident of South Carolina to be eligible for the Small Gift Program. 
• You must provide a statement from your physician on their letterhead, stating that you are currently active in treatment/therapy.  Active treatment or therapy is considered those treatments for newly diagnosed cancer or recurrence of previously diagnosed cancer.  (Maintenance treatment/therapy will not be applicable for this benefit.  Maintenance treatment/therapy is considered preventive drugs, routine doctor visits, labs, scans, etc. An example of preventive drugs would be femara, tamoxifen, arimidex, etc. Maintenance treatment/therapy is for those individuals who are cancer-free.) 
• A Community Resource Partner is considered the person who works for the treatment center (i.e. social or case worker, nurse navigator, or doctor).  It is required that the application be filled out completely by all parties and signed by the Community Resource Partner certifying that the patient needs assistance with basic living expenses.  
• Applications will not be considered if partially completed, not signed off by treatment center staff, and bills requested are not current with the correct mailing address to the provider.    
• Along with the completed application and documentation, a completed cover letter should be attached to the front of the application.
• CMC only assists 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 recurring payment assistance program.
• Applicant must live at the same address as the submitted invoice or bill.

Please download the application and cover letter.  Have your case/social worker fill it out and submit to: cmcapplicationsonly@cancerofmanycolors.com

Submit questions through email to: cmcapplicationsonly@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 48 hours. If application timing is critical to being disconnected, please have your case/social worker contact (803) 957-1048.