Get in Touch

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P.O. Box 1033, Santa Rosa Beach, Florida 32459
amy@foreher.org |   850-699-3233

© 2019 Fore Her. Designed by The Hive Creative Consulting

EIN: 46-2964704 | License #:  CH39208 

A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE. FDACS’s toll-free number is 1-800-HELP-FLA (435-7352). The FDACS website is www.800helpfla.com.

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GET SUPPORT

How can we help you?

Are you a breast cancer patient currently undergoing active treatment and need temporary financial assistance with utilities, mortgage/rent, auto payments/repairs?  We are here to help.  We understand the toll the battle with breast cancer can take on a family both emotionally as well as financially.   

 

  • Fore Her defines active treatment as the period after a positive diagnosis of breast cancer has been made (with a diagnostic biopsy), and during which therapies are being administered, including surgical procedures to remove the cancer (e.g. single or bi-lateral mastectomy, lumpectomy, axillary dissection, or sentinel node biopsy), chemotherapy or radiation.

  • PLEASE NOTE:  Fore Her does not consider the following as active treatment: reconstruction surgeries or long-term hormonal therapies (including Tamoxifen, Fareston, Arimidex, Aromasin, Femara, Zoladex/Lupron, Megace, and Halotestin or other long term hormonal therapies not listed)

  • Fore Her is not an emergency relief fund and cannot provide immediate financial assistance.  

  • Fill out the form below, and attach recent legible copies of statements of bills you would like considered.  You can use the online form or the printable version; both versions require copies of bills to be considered.

  • Funds requested are paid directly to the creditor.  No funds will be paid to applicant

 

  • Fore Her requires copies of the most recent, legible copies of all statements/bills requesting to be paid.  **Including landlord contact information/copy of lease or most recent mortgage statement

  • Thank for for your patience as we review each request.

To submit the printable version:

- click the button above

- print the document 

- fill out the forms

- scan them

- attach files in an email to 

vricherson@murraystate.edu

  • Below is a form you can fill out and submit without printing. 

  • At the end of the application please upload legible copies of the most recent statements of bills for review. 

Breast Cancer Support Group

Join Fore Her for a monthly support group featuring local breast cancer patients and survivors.

Every third Saturday of the month

9 AM at the Coastal Branch Library

Additional Resources

Click the boxes to learn more.

Patient Advocate Foundation

FWB Bosom Buddies Support Group

Niceville Support Group

Ascension

Fort Walton Beach Medical Center

Eglin AFB Resources

Air Force Aid Society

Hurlburt AFB Resources

American Cancer Society

Reach to Recovery

National Breast Cancer Foundation

Susan G Komen

United Way 211

Cleaning for a Reason

Focusing

On You Photography

Transportation

My BC Team

Online Support

Wigs By Cheyenne

Knitted Knockers 

ScarfEZY

Lustre Look

Camp Bluebird

Emerald Coast Hospice