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If you are currently a cancer patient, have recently completed treatment for cancer, or are currently battling cancer and can't afford treatment, you may receive a stipend to assist with medical needs not covered by insurance, or to help with non-medical needs such as mortgage, rent, utilities, groceries, transportation, etc.

Download and complete the application below and have your health care provider or referring individual fill out  the bottom portion.

Applications can be mailed to:

SLV Cancer Relief Fund

PO Box 1297

Alamosa, CO 81101-1297

or emailed to:

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