GRACE Application Forms

Application for Cancer Patient Funds. When you click the blue application you will be directed to a 4-page PDF with one page of instructions and three pages of required forms (scroll down to see all four pages).

Important: All three forms must be returned to the G.R.A.C.E. office to have your request acted upon.

The G.R.A.C.E office is open every Tuesday from 11am - 3pm and every Thursday from 11am - 3pm. Please call ahead, as times are subject to change. (608) 604-2900 or (608)604-8522.

We are located above Royal Bank with our entry door facing Court Street in downtown Richland Center. We share the Royal Bank address of 101 Court Street. Once in the door, there are three flights of stairs to reach the office. Call 608-604-2900 if you need help with the stairs or need to meet at the street level.