Get The Pink Diamond Fund 2016 Guidelines

This guide provides clear and comprehensive instructions for successfully completing The Pink Diamond Fund 2016 Guidelines online. By following these steps, users can navigate the application process smoothly and enhance their chances of receiving funding.

Follow the steps to complete your application effectively.

1. Press the 'Get Form' button to access the application form and open it in your preferred editing tool.
2. Begin with Section 1: Family Information. Fill in the patient's name, birth date, full address, city, province, postal code, telephone number, and email address. Ensure accurate information to prevent delays. Confirm Canadian citizenship in the provided field.
3. Input the sources of monthly income in the designated fields, including employment, unemployment, child support, disability, and welfare. Also, calculate and enter the total yearly family income.
4. Proceed to Section 2: Health Information. Provide details about the patient's diagnosis, the date of diagnosis, the name of the attending physician or oncologist, and the medical facility. Include contact information for the social worker or nurse.
5. In Section 3: Request for Funding, check the appropriate boxes for funding types and list the associated companies, costs, and due dates for each bill requiring funding.
6. Attach copies of utility bills or a letter from the landlord as specified in Section 4. Ensure this documentation clearly outlines the amounts owed and the duration of arrears.
7. In Section 5, make sure to include a brief narrative written by a social worker or nurse, outlining the patient's situation and family needs. This is crucial for the application's evaluation.
8. Review and sign the application in Section 6. Confirm that the information provided is true and correct, ensuring that both the patient and the social worker, doctor, or nurse sign the application.
9. Complete Section 7: Photo Waiver and Release Form by checking the appropriate box to authorize or decline the use of the patient's story and photos by The Cancer Recovery Foundation of Canada.
10. Fill out Section 8: Success Story Profile Questionnaire with a narrative about the patient’s cancer journey, including insights into treatments, support systems, and any lessons learned.
11. Ensure all sections are complete and legible. Save changes to the form. You may download, print, or share the completed application as needed.

Complete your application online today to enhance your chances of receiving funding through The Pink Diamond Fund.