Bridge of Hope Program

Watson Clinic Foundation has received a grant from the Florida Breast Cancer Foundation in the amount of $15,000 for the Bridge of Hope Program. This program aims to provide needs-based supportive services to economically impacted individuals undergoing treatment for breast cancer. Once an applicant has been accepted into the program, they may apply for assistance with travel expenses, groceries, childcare, rent or mortgage payments, utilities or phone bills, household cleaning/organization, or yard maintenance for a maximum of $750.

To be eligible for the program, applicants must currently:

Be undergoing active treatment in Polk County for a breast cancer diagnosis
Be a Polk County resident over the age of 18
Have an annual household income at or below 300% of the Federal Poverty Guidelines
Have less than $5,000 in total household liquid assets
Complete and submit the online application and submit all required support documentation
Be willing to fill out an online questionnaire upon completion of the program

Apply for Financial Aid

If you would like to apply for funding in 2023, please complete and submit the application below.

Items in bold indicate required information.

Name:

Date of Birth:

Address:

City

State:

Zip:

Email Address:

Phone:

Cell:

Referring Physician/Provider:

Cancer Diagnosis Date:

Name of Oncologist:

Oncologist Phone Number:

Currently Receiving Chemotherapy:

Last Date of Chemotherapy:

Please provide a detailed reason for your request for assistance at this time:

All applications must be submitted electronically online.

If you do not have access to a computer, please call the Arts in Medicine Coordinator to help you complete an online application over the phone at 863-603-4718 or with questions via email at TVanWieren@WatsonClinic.com

*Assistance is not provided until eligibility is determined. Watson Clinic Foundation is not obligated to provide service to anyone, and the program is limited to funds provided by the Florida Breast Cancer Foundation.

No Financial relief will be paid directly to any applicant. Financial relief will be paid to the service provider.