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The Grant Process


1- If you have access to a computer, go to and download a Grant Application. Fill it out and mail it to the address on the form.

Click HERE for Grant Application.

2- If you do not have access to a computer, call 601-450-PINK (7465) and we will mail you an application. If you receive a recorded message, do not hang up. Leave a message that you have discovered a symptom and need a Grant Application. Leave your name, phone number, and mailing address – please speak slowly and distinctly. An application will be mailed to you.

3- Complete the application and mail it to the address on the form. We will determine if you are eligible for the federal BREAST & CERVICAL CANCER PROGRAM (based on income and number of people in your household) If you are eligible, we will send you to the appropriate medical facility to get screened and treated because BCC is a federal program that will only cover your expenses if you are diagnosed on BCC. So, this is a very important first step.

4- If you are not eligible for BCC, your diagnostic testing must be ordered by a doctor. So, you will need to make an appointment with your doctor as soon as possible, Be sure to bring the Grant Application with you, because it requires your doctor’s signature. After your exam, the doctor will give you a prescription ordering the tests you need. go to get these test done as soon as possible.

5- With your Grant Application, send copies not originals, of the bills you cannot pay.”  We meet twice a month. You will receive a letter from us after our meeting, describing how we have helped you. In some cases, the envelope will also contain a document which you must sign and return in 5 days. Please follow the simple directions for this. Our strict patient guidelines mandate financial limits per patient. This is to insure that every patient will receive equal and fair treatment.


1- If you have been diagnosed with breast cancer, regardless of how long ago, and need help paying your medical bills that relate directly to breast cancer, you can get a Grant Application on-line at <>. Applications are also available at most hospitals, cancer treatment centers, and oncologists’ offices. If you cannot get one at one of these locations, call 601-450-PINK. Leave your name, phone number, and mailing address – please speak slowly and distinctly. An application will be mailed to you.

2- Complete the application, and have your treating physician sign it (His or her nurse practitioner can also sign it.)  Make copies of the MEDICAL bills directly related to breast cancer that you cannot pay, or you can only partially pay, and mail them with the Grant Application to the address on the form. (Do not send us your originals. You may still need them.) We do not pay household bills.

3- Our Grant Committee meets twice-monthly. When we review your application, we may have to call you, or your doctor, to clarify something. (That is why we need you to sign the HIPAA Waiver on the form.) We have strict patient guidelines to follow.  We will review your application, consider your requests and send you a letter describing how we were able to help you.

4- Due to our strict patient guidelines, we have financial limitations per patient. If we cannot pay ALL your bills, please know that it is because we have to help

other patients, too. If you still need financial help in six months from the date of your first application, you may re-apply, using all the same procedures

(making copies of bills, etc…)


You may get financial assistance by visiting our website to download an application, or by calling 601-450-PINK (7465) and we’ll send you a Grant Application. Follow the instructions on the application. We meet twice a month. We will send you a letter describing what we have done for you.


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