HNCA is proud to support head and neck cancer patients with financial assistance to get to and from their cancer treatments. In 2022, HNCA provided more than 360 patients with gas gift cards, totaling nearly $20,000 in support.
PLEASE NOTE: Cancers of the brain, eye, esophagus, thyroid gland, and early cancers of the skin of the face and scalp are not classified as head and neck cancers for the purposes of gas card distribution.
TO BE ELIGIBLE FOR THIS PROGRAM PATIENTS MUST:
- Have a recent diagnosis of head and neck cancer (cancers of the brain, eye, esophagus, thyroid, and early cancers of the skin of face and scalp do not qualify for this program.)
- Be participating in a current/active treatment regimen (e.g., chemotherapy, radiation therapy, surgery, immunotherapy, etc.)
- Live in the United States
- Have their applications submitted by a member of their care team (nurse, patient navigator, medical social worker, etc.). Applications submitted directly by the patient, patient's family/friends, or other non-medical caregivers are not accepted.
Please know that the HNCA Gas Card Program, offered to head and neck cancer patients who are currently in treatment, provides a one-time only $50 gas card grant to assist patients with transportation costs.
For patients and survivors, we encourage you to join our online support community, sign-up for our Peer-to-Peer Program, register for our e-newsletter as well as spend time on our website. We offer a host of educational materials, webinars, a one-day hybrid Annual Symposium to help you through your cancer journey and beyond.
Below is the application for a member of the patient’s care team to apply. Please be sure to include the complete address of the patient, including apartment number, etc. Once the application is processed and approved, a $50 Visa Gift Card will be mailed directly to the patient.
If you are a patient, please do not submit your own application. Applications submitted directly by the patient, patient's family/friends, or other non-medical caregivers are not accepted. Please have a member of your care team do it for you.