Breast Cancer Solutions

The BCS service area is limited to selected areas in Southern California. If you live outside Southern California, we suggest contacting your local Susan G. Komen for the Cure Affiliate for possible resources at http://www.komen.org.

BCS has a lifetime support limit of 9 months, as well as a lifetime monetary limit. Once one of these limits have been reached, you may not renew at a later time. These limitations allow us to assist the growing number of women in our community who need our help.

Applications must be mailed or faxed in for processing. For privacy reasons, please do not send applications to any BCS email addresses.

BCS APPLICATION

BCS Application - English - WORD

BCS Application - English - PDF

Aplicación en Español - WORD

Aplicación en Español - PDF

To request an application by mail, please call 866-960-9222 or email .(JavaScript must be enabled to view this email address).

Para recibir una solicitud por correo, llame 866-960-9222 o por correo electrónico .(JavaScript must be enabled to view this email address).

How to Contribute

By clicking the DONATE button, you will be directed to a new page. To make a donation, please select one of the options or enter your own amount. Note: Please do not use a $ sign if you enter your own amount.