Am I Eligible?

CRITERIA FOR ELIGIBILITY OF FINANCIAL AID CONSIDERATION

Have a prostate cancer diagnosis confirmed by a licensed physician in one of the following categories:

  • a)  Have had a MR-guided biopsy confirmed Gleason score of 7 or less.
  • b)  Have undergone alternative treatment and be a qualifying salvage therapy candidate.

Have met the inclusion criteria for a qualified clinical trial for MR-Guided Focal Laser Thermal Therapy of Prostate Cancer. A qualified clinical trial shall be an IRB approved clinical trial using MR-guided technology for treatment delivery and all follow-up procedures providing services within the United States of America that is active in a recruitment phase and is filed under www.ClinicalTrial.gov.

Be a citizen of the United States of America.

Provide a signed application and documentation demonstrating financial need in accordance with the Financial Aid Benefit Table.

Criteria for eligibility of financial aid consideration is subject to change without notice. Once an application has been submitted with all documentation consideration will be given based upon the criterion at the time of submission. Please click on “Financial Aid Packet” to fill out our application.  Be sure to submit the completed application and send it to us for review under the “Contact Us” section of this website.

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The Focal Therapy Foundation