Click here to complete an application for financial assistance (note, application may not currently be live -- stay tuned).

When you have completed the application, please remember to send all supporting documentation to assistance@marbleroad.org with your full name in the subject heading so we may link supporting documentation to this application:

(1) Letter from your physician regarding your illness.
(2) Proof of health insurance or lack thereof.
(3) Proof of income (either W-2, 2 consecutive pay stubs, or letter from employer on employer letterhead).


You may also be interested in sharing your personal story on our blog. Email us at info@marbleroad.org.

Check out this amazing video from the Oregon Primary Care Association - "A Complex Case:  Quality Care for Those in Need" to add context to why MarbleRoad focuses on complex care: rare disease patients and community health center patients.
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