Patient Grant Request Form
ArmorUp for LIFE for LIFE has 5 pillars: Diet, Exercise, Lifestyle, Spiritual and Financial Fitness.
Our mission to to help you ArmorUp for LIFE for LIFE during and after your treatment in any of the 5 ways. I’ve been through this struggle and I know it is not easy. I, along with our amazing ArmorUp for LIFE for LIFE warrior volunteers, know that the struggle doesn’t end after the last drip of chemo and yes you do still need financial help or donations to get back up .
Our goal with this form is to find out how we can help YOU ArmorUp for LIFE for your LIFE.
Based on your needs and our funding we will help in the following ways:
• Diet- Do you need (grocery donations or gift cards )
• Exercise- Do you need fitness gear, sneakers, a fitness tracker, socks, tanks, treadmill, or help funding an exercise trainer to get you strong again?
• Lifestyle- Do you need medical massages or other treatments that can lower the stress in your life? Do you have a memory you want to go make and can’t afford it ?
• Spiritual- Do you need someone to help you spiritually?
• Financial/Professional – Are your finances a mess now? Do you need a connection to a financial planner to help you get back up? Do you need a professional contact to help you get back to work?