REQUEST CRT FINANCIAL SUPPORT GUIDELINES
CRT is currently not accepting new applications due to funding issues until further notice. 
Our organization is designed to provide financial assistance for:
  • Children who are currently being treated for cancer with Standard of Care (SOC) protocols and are in need of or are seeking integrative and/or complementary treatment(s) and support
  • Children who are 0-6 months post cancer treatment
  • Children who are no longer in remission

In order to qualify for financial assistance:
  • Your child must be currently diagnosed with and receiving treatment for cancer or be 0-6 months post treatment
  • Your child must be under the age of 18 years old
  • You must be the parent or legal guardian of the child you are requesting support for
  • You must be a resident of the United States
  • Your child must be a US citizen and must reside in the United States while receiving care
  • Your child must be receiving treatment (SOC and/or integrative/complementary) within the United States
  • As part of the application process, you will be asked to provide a diagnosis letter from your physician, a copy of your child’s birth certificate, and a copy of your current United States driver’s license / travel ID (in addition to the completed application and HIPAA forms).
 
If you are approved via our application process for CRT financial support, please note that we do NOT reimburse for the following expenses:
  • Uninsured and/or deductible portions of SOC treatment
  • Prescription drugs ordered by your physician team(s) (however, we do reimburse for supplements)    
  • Program membership fees and/or subscriptions
  • Treatment for your child outside of the United States
If you believe you qualify for assistance from CRT, please download and submit the completed "Request CRT Financial Support Application" and "HIPAA Right Of Access" forms located below. The forms can be submitted via email or mail (email preferred). ​

​​Email:
[email protected]

Mail:
Cancer Response Team, Inc.
20235 N Cave Creek Road
Suite 104-184
Phoenix, AZ 85024


​Forms to request our service:
CRT is currently not accepting new applications due to funding issues until further notice. 

HIPAA Right Of Access
File Size: 140 kb
File Type: pdf
Download File
Please Note: In order for us to receive invoices or other information from medical third parties, a signed HIPAA release form is required by law to be provided to any third party.  HIPAA is required by law to protect the privacy of families.  CRT will not access your child’s medical records unless specifically authorized by you.
Cancer Response Team, Inc. is a 501(c)(3) nonprofit organization dedicated to helping children get supportive cancer care.  We do so by providing their families with financial assistance for integrative and complementary cancer therapies from time of diagnosis up to six months post treatment.