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
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
Click the boxes to learn more.