*Have had a diagnosis of breast cancer.
*Be (or become) a member of BCAK to be eligible to apply. The membership fee is $35/year, and a receipt may be issued.
Breast Cancer Action Kingston offers financial support to those individuals residing in and receiving their treatment within the South East Cancer Region.
If paying $35 at time of submitting application, please click Membership Form below
Please check the reason(s) for financial assistance and attach any relevant documentation and/or proof of purchase receipts. Missing information may cause a delay in processing the application.
As of May 1, 2022 Financial Cap: Up to $1,500 per year including any items below. Total maximum allowance per person of $3,000.
Prosthesis - $250 every 2 years
Partial Prosthesis - $80 every 2 years
Wigs - $350 - 1 per hair loss due to treatment
Bras (maximum 2) - 60% every 2 years
Lymphedema - $1500 with max $3000
Note: If you have already applied prior to May 1 and received the maximum amount at that time, you are eligible to apply again in Jan 2023.
Thank you for your submission.
AMOUNT APPROVED: __________________ DATE: ___________________________
SIGNATURE: __________________________________________ PAYABLE TO: _____________________