Putting family over finance
A charity organization based in
Middlebury Center, PA
Services
Before the Humble Bumble Project can help you with your out-of-pocket cancer-related expenses, we need a couple of things from you first. Upon completion of these forms, please send them both as attachments to info@humblebumbleproject.com.
Referring Healthcare Professional Consent Form
This form says that you consent to giving us your medical history and referral form.
Patient Referral Form
This form contains your medical history, your diagnosis, and a referral from your doctor. This is the most crucial part of your application. Without it, we cannot offer assistance for your cancer-related expenses.
Don't worry, your medical history is safe with us.
We are HIPAA compliant!
