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Apply for support

A referral to support can be submitted by anyone including yourself, a friend, family member, colleague or health professional.

Step 1

Following a referral, complete an application with our support coordinators and supply some details.

Step 2

Verify your cancer diagnosis.

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Step 3

Verify your Pilbara address.

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A cancer diagnosis is not an automatic approval of a request for support. Eligibility and availability of resources at the time of application will be assessed within the context of other support services and family resources available to individuals.

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To be eligible for assistance, applicants must be undergoing active treatment or management of a confirmed and current cancer diagnosis and be residing within the Pilbara Region.

Begin your application process here

Please follow the prompts below to submit a referral. Upon receival, your nearest support coordinator will be in contact to assist you with the rest.

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Referral Form

Does the patient identify as Aboriginal or Torres Straight Islander

Thank you, please check your inbox

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