Applicants

Have you or someone in your immediate family been diagnosed with Colon Cancer? We are here to help.

Criteria

To qualify:

·      You, or an immediate family member must have been diagnosed with colorectal cancer and be currently, or have completed going through treatment within the past two (2) years.

·      Applicants previously awarded funding through this program are not eligible for this program.

·      Applicants must demonstrate financial need.

·      The diagnosed patient must be a current resident of the Northeast area (Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont, Virginia or West Virginia.).

To Submit

Please send an e-mail with a completed application & signed HIPPA release form (below) to contact@thepatmtallinifoundation.com

Instructions and more information on requirements for application are included in the attachment on this page. If you have questions, please contact us for more information.