How We Can Help

Cancer Patients of any type.
Individuals who have a current address with a zip code from Phillipsburg, KS, Laramie, WY, Sheridan, WY and Wray, CO.

We will reimburse you for expenses related to your treatment, i.e. travel, fuel, lodging and meals, medical deductibles.
All we need is receipts and a completed online application.
We will reimburse up to $2,500 per person annually, pending available funds.
We would also be willing to let you use the Never Flinch logo to sell T-Shirts as a specific fundraiser. We can sell you T-Shirts at a low cost to maximize your profits.

Please complete the form below to request assistance from Never Flinch, the Foundation. Following submission, you will be contacted from a member of our organization.
Questions marked with * indicate required questions that cannot be left blank.
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Oncologist Name
Onocologist Phone #
Never Flinch, the Foundation has permission to verify my medical status.
- Yes
- No
Please click this button stating that you understand by submitting this request form, you are granting Never Flinch, the Foundation permission to verify your medical status with your doctor.
Diagnosis/Re-diagnosis Date
Date Format: MM slash DD slash YYYY
How did you hear about Never Flinch, the Foundation?
- Friend
- Event
- Referral
- Other
If other, please explain
Including Yourself, How Many Live In Your Household?
- 1
- 2-3
- 4+
Briefly Describe the Type of Assistance You Require
Comments – Please Provide Any Additional Information You Think May Be Helpful For Never Flinch, The Foundation To Understand Your Needs
CAPTCHA
Comments
This field is for validation purposes and should be left unchanged.

Questions marked with * indicate required questions that cannot be left blank.