Applicants must:
*Have had a diagnosis of breast cancer.
*Be (or become) a member of BCAK to be eligible to apply. The membership fee is $30/year, and a receipt will be issued.
Breast Cancer Action Kingston offers financial support to those individuals residing in or receiving their treatment within the South East LHIN.
Financial Cap: Up to $1,000 per year including any items below. Total maximum allowance per person of $2,000.
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Prosthesis - $150 every 2 years
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Partial Prosthesis - $50 every 2 years
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Wigs - $250 every 2 years
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Bras (maximum 2) - 50% every 2 years
AMOUNT APPROVED: __________________ DATE: ___________________________
SIGNATURE: __________________________________________ PAYABLE TO: _____________________