Patient Assistance Program Next Step

Instructions to apply

Part 1: Online Application Form

  • Complete your online application form by clicking on the state in which you live in below.
  • You will receive an email after completing part 1 online with a link to part 2 which is a printable document.
  • Check your spam folders if it does not show up in your inbox.

Part 2: Email with printable document 

  • Once you have completed Part 1 you will receive an immediate email.
  • Print document.
  • Complete and gather your needed documents.
  • Contact your doctors office to complete their portion of the application.
  • Scan all documents together and email to Pink Ribbon Riders.
  • Deadline is 6/12/26 by 5:00pm EST

Reminder:

  • Check email frequently as we may have questions and are trying to reach you.

 


Click on your state to apply:

MINNESOTA

WISCONSIN

WYOMING

*MICHIGAN - Limited

*Not accepting patients from the Detroit area

*NEW YORK - Limited

 * Not accepting patients from the NYC, Staten Island or Long Island area

Check Counties Here

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open period: 5/29/26 - 3:00pm EST

closing date: 6/12/26 - 5:00pm EST

Next opening announcement: July

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Definitions of "Open" and "Closed" periods and the Financial Assistance Distribution


*Open Period- The open date is the date that we begin accepting applications. The length of time that applications are accepted will vary based on the amount of people applying.

*Closed Period- The closed date is the date when we stop accepting applications. The time frame between the closed date and the Financial Assistance Distribution date is the date on which the approved applicants are awarded.

*Financial Assistance Distribution Date- The Financial Assistance Distribution date is the date on which the approved applicants are awarded.

*Other times of the year we are fundraising to make the giving possible.


 

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If you are a new referrer to our program as a nurse/ social worker or cancer center. Please click on: "ADD ME" to be added to our referrer list. This will add you to our system so you can refer patients to us and be updated on the opening and closing/ changes to our program. Please do not email us to ask when the program will open. We will notify all by email once you have asked to be on our referral list.

ADD ME


 


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