Patient Assistance Program

Cancer treatment can bring with it many unexpected expenses from medications to travel. The
Massel-Cruickshank Breast Cancer Patient Assistance Fund and the Gene Goodreau Patient
Assistance Fund have been established at the London Health Sciences Foundation to reduce the
financial burden on patients at the London Regional Cancer Program (LRCP).

LRCP PATIENT ASSISTANCE PROGRAM – Application

Who is eligible?

Funding is available for emergency, short-term situations when funding from other sources and
services is not available. The following eligibility criteria must be met:

Any adult who is undergoing treatment within the LRCP and/or its affiliated South Western Ontario regional partner sites
Experiencing a financial burden due to their cancer and its treatment
The expense(s) listed on the application must be dated within the last 6 months

It is expected that applicants will have applied for and be making use of other sources of funding before applying to the Patient Assistance Program. This may include benefits from the person's place of employment, Ontario Works, Ontario Disability Support Program, Assistive Devices Program, Community Care Access Centre, etc.

What expenses are eligible?

Funding is available for, but not limited to:

Wig (up to a maximum of $800)
Head coverings
Prostheses (portion not covered by ADP)
Mastectomy bras (maximum of four)
Mastectomy swimsuit
Childcare during treatment
Respite care
Transportation (when volunteer drivers are not available through the Canadian Cancer Society
or other organizations)
Parking (pre-approval required)
Equipment Rentals
Drugs (e.g., Trillium deductible, supportive medications for treatment-related symptoms)
Nutrition Beverages (high protein/high energy beverages)
Lymphedema supplies - portion not covered by ADP (e.g., compression sleeves)

Funding is not available for:

Private pay chemotherapy
Tests and procedures that are not funded through OHIP
Out of province travel for treatment
Living Expenses
Meals
Fertility Preservation
Transportation costs when 1) volunteer drivers are available through the Canadian Cancer Society or other organizations or 2) the patient is eligible to stay at the Residence Inn.

As often as possible, we try to arrange for vendors to bill LRCP directly to reduce the patients' out of pocket expenses. If you are submitting a previously paid expenses please provide original receipts, not older than 6 months.

How do I apply?

Applications are available in all LRCP clinics, LRCP Pharmacy, and C7 Inpatient Floor. Applications will be reviewed weekly and follow-up letters outlining decisions will be sent to applicants.

Completed application forms can be dropped off at the Keith Samitt Patient and Family Resource
Centre located in the Level 1 Atrium of the LRCP or mailed to:

Attention: Patient Assistance Fund
London Regional Cancer Program
London Health Sciences Centre
790 Commissioners Road East
London, ON N6A 4L6

We are grateful to the London Health Sciences Foundation for administering donations to the Patient Assistance Funds in order that we can continue to provide financial assistance to patients in need. For more information on how to donate go to: http://www.lhsf.ca/campaign/cancer-care