Get Stringsforacure Gift Card Application

This guide provides comprehensive instructions for completing the Stringsforacure Gift Card Application online. By following these step-by-step instructions, users can ensure that their application is filled out accurately and completely, allowing them to access much-needed support during their breast cancer journey.

Follow the steps to complete your application effectively.

1. Press the ‘Get Form’ button to access the Stringsforacure Gift Card Application and open it for completion.
2. In Section I, please enter the date when you are filling out the application along with your personal details including your name, birthdate, address, and contact information. Remember to print clearly.
3. In Section II, provide the contact information for your healthcare professional treating your cancer. This must include the physician's name, hospital or clinic information, and diagnosis details.
4. Under Diagnosis Information, indicate your type of cancer, its stage, and whether this is a new diagnosis or recurrence, along with the respective dates.
5. Ensure that the healthcare provider verifying your diagnosis completes and signs Section II, including their contact information and role.
6. In Section III, select your preferred retailer for the gift card. Be sure to only select one retailer that is available in your area.
7. In Section IV, indicate if you have previously received a gift card from Stringsforacure. If you are a first-time applicant, provide any required documentation, including a signed letter from your physician.
8. If this is a second gift card application, attach the signed letter from your oncologist or surgeon indicating your diagnosis and follow-up care.
9. Complete Section V by signing the application, thereby verifying the information you have provided. This is crucial for processing your application.
10. Before mailing, review the checklist to ensure all sections are complete, all required documentation is attached, and make a copy of your application for your records.
11. Mail the completed application and documentation to the provided address, ensuring it's sent to Stringsforacure.

Fill out your Stringsforacure Gift Card Application online today to access the support you need.