Assistance Program

Dear Future Client,

Thank you for contacting Give Thanks for Life to request your financial assistance application.
Our funds for financial assistance are limited and based on availability and an application is not a guarantee of acceptance. Please be thorough as all sections of the application must be completed in order for your application to be considered.

Our services include assisting with the following:

  • Doctors office co-pays
  • Medication (pills) up to $400
  • Food up to $400
  • Transportation
  • Companion at treatment
  • Child Daycare (while at treatment)

To Apply For Assistance, complete and submit the following forms.

All information is strictly confidential and for GTFL use only.
If you have any questions, please call 757-748-1266 or send an email to

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