The Northern Nevada Children's Cancer Foundation is able to provide financial assistance through generous grants and donations. Please complete the application below. You will be contacted by a staff member when it has been received.
Please note: NNCCF provides this list of medical providers at our clients’ request. NNCCF does not have any agreements with these medical providers to refer patients to these providers, nor would NNCCF be willing to enter into any such agreement. Rather, this list identifies medical providers who provide pediatric oncology treatments about which NNCCF is aware (listed in alphabetical order so as to avoid any appearance of NNCCF expressing a preference for one medical provider over another).
NNCCF cannot and will not provide advice to our clients concerning:
NNCCF hopes that its clients find this list to be a useful first step in locating appropriate treatment, and NNCCF encourages all clients to conduct their own research as to appropriate pediatric oncology treatment, as well as to make their own decisions concerning these issues.
Releasor consents to and authorizes the release and use of Protected Health Information, which may be protected under federal law, from all medical care facilities, insurance groups and/or social welfare agencies to NNCCF. Releasor further authorizes NNCCF personnel to speak directly with patient’s medical providers and/or social workers. Releasor authorizes NNCCF to release and utilize patient’s medical information as it relates to NNCCF’s non-profit activities.
Releasor consents to the dissemination and use of the patient’s name, likeness, and recorded voice singularly or in conjunction with other photograph’s and/or recording by the print, television, and radio media, for the purposes of pediatric cancer awareness and for raising funds to further the goals of NNCCF (“media consent”). Releasor acknowledges that s/he has the right to revoke this media consent at any time in writing signed by Releasor. The revocation will only be effective upon receipt by a NNCCF
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