COVID -19 Emergency Food Assistance Fund

Team Rubicon and Patient Advocate Foundation

U.S. Citizens and residents
Coming Soon

The COVID-19 Emergency Food Assistance Fund provides emergency food assistance to patients who have been diagnosed with cancer, Rheumatoid Arthritis or Multiple Sclerosis and have been impacted directly or indirectly by COVID-19. This grant is intended to help with out of pocket expenses for food/nutritional needs, including assistance with groceries, food delivery, take-out, and medically designed meals.

Benefits

  • Free food pick up and delivery assistance
  • One-time grants of $200 to be used for Food/Nutrition expenses including:
  • Groceries
  • Food Delivery/Pick up
  • Medically Tailored Meals
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Eligibility

To be eligible for assistance, the patient must meet the following criteria: 

  • Be a US citizen or permanent resident Have a confirmed diagnosis of cancer, Rheumatoid Arthritis or Multiple Sclerosis 
  • Be in active treatment, scheduled to begin treatment in 60 days, or have been in treatment in the last six months, or in follow-up care 
  • Be directly or indirectly impacted by COVID-19 and is unable to pay for necessary food and nutritional needs

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Application

  • Please complete the form at the link provided to apply for food delivery assistance through Team Rubicon and financial assistance from Patient Advocate Foundation.
Apply Now

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Requirements

Patient Demographic Information

  •  First & Last Name
  •  Address & Phone Number
  •  Gender, Ethnicity & Marital Status
  •  Veteran Status, Employment Status, Date of Birth
  •  Social Security Number or Alien Number

Treating Physician Information

  •  Physician Name
  •  Facility Name
  •  Physical Address
  •  Phone Number

Medical Diagnosis

  • Primary Diagnosis- please note: patient must be medically diagnosed with

cancer, Rheumatoid Arthritis or Multiple Sclerosis 

  • Date of Diagnosis

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