Cancer Assistance Program (CAP)

Administered by
Putnam County HomeCare & Hospice Auxiliary

Putnam County HomeCare & Hospice Auxiliary is proud to support the Putnam County community through a Cancer Assistance Program (CAP). The auxiliary began the CAP program in January 2004. The purpose of this program is to reimburse residents of Putnam County who are receiving active treatment for their disease for:

1. Transportation for Cancer Treatments
2. Prescribed Supplies for Cancer Treatments
3. Prescribed Medications for Cancer Treatments.

How Do I Apply For Help?

• A one-page form must be completed for either mileage reimbursement, supplies or medication assistance. 
• The form includes a section to be signed by the treatment center personnel or physician’s office verifying these treatment dates.
• Visits to physician offices, other than for chemotherapy and/or radiation treatments, will not be covered.

How Much Can I Be Reimbursed?

• Reimbursements for mileage to and from treatment center/physician's office. 
• Medication assistance will be given for both active and extended treatments.   
• Reimbursement for miscellaneous supplies associated with your cancer diagnosis. 
• Submit completed form to below address or fax number.

Download Transportation Reimbursement Form

Download Supply Reimbursement Form

Download Medication Reimbursement Form

CONTACT:
For more information or to request a form, stop by or call:

Putnam County HomeCare & Hospice Auxiliary

139 Court Street - P.O. Box 312
Ottawa, OH 45875
Phone: 419-523-4449
Fax: 419-523-6328
Email: pchh@bright.net

Those wishing to support this service through monetary donation may do so by sending it to the address above.  Please make checks payable to Putnam County HomeCare & Hospice Auxiliary-CAP. 

CAP
A service of Putnam County HomeCare & Hospice Auxiliary and United Way of Putnam County