Mary Herczog Fund for Metastatic Breast Cancer Patients

Name*

First Last

Email*

Have you been diagnosed with Metastatic Breast Cancer?*

Yes
No

Did you apply for and are awaiting Social Security Disability?*

Yes
No

We are sorry you MUST be a metastatic patient diagnosed under 40, and awaiting Social Security Disability, to qualify under The Pink Fund’s guidelines for additional resources. You must meet all 3 criteria for this additional funding. Please click here to return to The Pink Fund’s general funding pre-qualification guidelines to see if you qualify for general assistance. Click here to see if you qualify.

The Mary Herczog Fund for Metastatic Breast Cancer Patients

The Mary Herczog Fund for Metastatic Breast Cancer Survivors

The Financial Side Effects of Cancer

Financial Toxicity

Job Loss

Bankruptcy

Impact on Savings

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