Apply for Help

Payitforwardfund.net  helps patients who are struggling financially while being treated for breast and women’s cancers (cervical, ovarian, uterine) at Buffalo, Fairview Maple Grove, Glencoe, HCMC, Maple Grove, Mercy,  Methodist, Monticello, North Memorial, Northland, Ridgeview, University of Minnesota Health Cancer Care, Sibley, University of Minnesota & Unity Medical Centers in Minnesota.  If you fit this criteria, we're here to help!  Volunteer office hours:  Tuesdays & Fridays.

Patient Assistance Guidelines: 

Please review carefully

Application for Financial Aid

Payment

Guidelines

"I couldn't believe there was an organization that might help ease our financial burden as we concentrated on getting well.  When we received the notice in the mail both my husband and I exhaled a deep breath.  Thank you.  You've made this difficult path with all the things to think about much, much easier."
                                                    Kathy

Application for Financial Assistance

Type of Cancer You Are Being Treated For: *

Birthdate

arrow&v
Current treatment:

Circumstances Leading to Current Need

I declare that the information on this application is true and correct, and hereby give my permission for my medical records to be obtained.

Pay It Forward Fund is a restricted fund of Ridgeview Foundation.  Their generous support provides free office space and overhead, accounting, event-planning, and other support, including credit card processing fees for online donations. Every cent of your gift is used to pay essential living expenses for local cancer patients in need. For more information about Ridgeview Foundation, visit https://www.ridgeviewmedical.org/foundation/.