What is the Oncology Office Certification Form? This form tells the foundation that you are currently in active treatment at a local oncology facility. This form must be filled out by your doctor’s office in order for your application to be reviewed.

Will you accept doctor’s notes instead of the certification form?

Unfortunately, we cannot accept visit notes, physician’s order, doctor’s letters, or certification forms from other foundations. In order to review your application, we need to receive a signed & filled-out copy of our own Oncology Office Certification Form.

What should I tell my doctor’s office when I give them the form?

Please tell your RN, patient navigator, social worker, or other contact:

• The cancer diagnosis needs to be written in layperson terms.
• The cancer treatment type needs to be selected from the approved list. These are the only treatment types we are able to provide financial assistance for.
• The cancer treatment time frame must be concrete and specific. If you are under lifelong treatment, please ask your doctor’s office to use the timeline of the specific medication, chemotherapy, or a date of review of treatment. We cannot accept a form that states “lifelong,” “indefinite,” “undetermined,” or any similar wording.
• The certification form must be signed by your PA, NP, or MD. We cannot accept RN or social worker signatures. The name of the person who signs the form should match the oncologist listed on your application for financial assistance.
• The certification form must be filled out and signed within 60 days of the date of application.

When will I hear back about my application?

All applications are reviewed at scheduled board meetings. These meetings are held monthly, on average. All applications submitted within the last month are reviewed at that time.

I got an email after submitting my application that something was wrong with my certification form or my application.

You may receive an email prior to the monthly board meeting if part of your application is missing or needs clarification. You will have until the scheduled board meeting to email any changes to info@fullofhopefoundation.org. Any application information sent after the scheduled board meeting will be reviewed at the next board meeting.

How often can I apply for financial assistance?