Laurie’s Legacy Online Application
Helping breast cancer patients focus on treatment, not finances.
Laurie’s Legacy and Breast Cancer Support Application
Welcome to all breast cancer patients seeking support and assistance via the Laurie’s Legacy program at Oneida Health. We recognize the difficulties and uncertainties accompanying a breast cancer diagnosis and are dedicated to offering our support and assistance. Our program is designed to offer financial aid and resources to alleviate the challenges of treatment and recovery. We invite you to apply for and make use of the resources provided by Laurie’s Legacy through the kindness of Saint Agatha’s Foundation. Remember, you are not alone on this journey; we are committed to supporting you at every step. Kindly review these guidelines before submitting your application.
To enroll in the Oneida Health program, you must have a breast cancer diagnosis and be a patient at Oneida Health. By applying, you authorize the Oneida Health Foundation to verify your status with our breast cancer specialists to confirm you are a Oneida Health patient. If you are not a patient at Oneida Health, we encourage you to explore applying through the Cancer Connects Laurie’s Legacy program.
- Proof of income documentation is required. Here is a list of acceptable proofs of income:
- Copy of your most recent Federal Income Tax filing (page 1 & include page 2 if applicable to your 1040 form) IMPORTANT: If you do not file Federal Income Tax forms, please note this on page 1 of the application.
- If you are currently receiving unemployment insurance benefits, disability benefits, or worker’s compensation benefits, please submit a copy of your benefit letter.
- If you do not file an income tax return, please submit the following documentation, if applicable:
- A copy of your Medicaid or Social Services benefits statement.
- A copy of your Social Security benefits statement.
- A copy of your retirement fund and/or annuity statement.
