Megan's Wings Patient Aid Application
Our Patient Aid Program provides emergency bill pay assistance when pediatric or young adult cancer families are struggling financially to pay living expenses due to job disruptions and increased expenses associated with their child's illness. This application must be submitted by a medical social worker on behalf of the family. This program is open to any pediatric or young adult cancer patient up to age 26 who is receiving treatment from a hospital or cancer center located in Southern California.

This is a one-time bill assistance and is meant to relieve financial stress and help families catch up on household bills. Our goal is to help as many families as possible struggling financially because of their child's cancer diagnosis and care. Assistance may be granted more than once per year under special circumstances, but funds are limited and based on availability.
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1. Type of Financial Aid Being Requested? *
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2. Is this a First, Second or Third Request?
Have you previously received support from Megan's Wings in the past?
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3. Briefly explain why family is experiencing financial hardship due to child's illness & needs bill assistance: *
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