Cancer Outreach Foundation
Serving Southwest Virginia and Northeast Tennessee
Patient Assistance
To apply for assistance from the Foundation, please download and fill out ALL THREE forms linked below and fax or mail them to our office.
You will be contacted by our Patient Advocate once the information is received.
Assistance Locations
Virginia Counties
Buchanan
Dickenson
Grayson
Lee
Norton
Russell
Scott
Smyth
Tazewell
Washington
Wise
Wythe
Tennessee Counties
Hawkins
Johnson
Sullivan
Washington