Facing treatment alone can be overwhelming. Our compassionate volunteers are here to accompany you on treatment days, providing comfort and a helping hand.

Treatment Day Companionship:

After your treatment, our team offers non-medical care to help you with basic daily needs, ensuring you can rest and recover without worry.

Non-Medical After-Treatment Care

Nutrition is key to healing. We offer a well-stocked food pantry to provide healthy meals and grocery items for patients and their families in need.

Food Pantry

Welcome to Harmony Healing Foundation’s Support Hub!

General Intake Form

At Harmony Healing Foundation, we are committed to providing comprehensive support to patients and families navigating their cancer journey. To ensure that we can offer the appropriate services and assistance, we have developed a clear and confidential intake process.

This process includes the collection of necessary personal, medical, and support information while ensuring compliance with privacy laws through a customized HIPAA-compliant Medical Release Form.

First name

Last name

Phone

Birthday

Month

Day

Year

Address

What type of cancer has been diagnosed, and what is your relationship to the patient (e.g., self, family member, friend, caregiver) Harmony Healing Foundation Medical Release Form is required.

Multi choice

Treatment Day Companionship

Non-Medical After-Treatment Care

Food Pantry

Financial Assistance (When Available)

Volunteer Opportunities (Background Checks Required)

What happens next...

Initial Contact
- Collect essential personal and medical information from the patient to better understand their needs and provide appropriate support.
- To obtain the necessary authorization to access and share medical records related to the patient’s diagnosis and treatment with healthcare providers, ensuring continuity of care and coordination of support.
- To thoroughly review the information collected in the intake form and the medical release to determine the patient’s needs and eligibility for various programs and services offered by Harmony Healing Foundation.
- To ensure that the patient is continuously supported throughout their cancer journey, with regular check-ins and updates to their personalized support plan as needed.

I understand that the patient or authorized representative will need to sign the Harmony Healing Foundation Medical Release Form, which allows us to request and share medical records relevant to the support services provided by the Foundation.

Welcome to Harmony Healing Foundation’s Support Hub! We are dedicated to making it easy for you to access all the resources and services you need, whether you’re seeking support, offering to volunteer, or looking to get involved with our mission.

Explore the different sections below to find exactly what you’re looking for.

Find the Support
You Need –
All in One Place

Treatment Day Companionship:

Non-Medical After-Treatment Care

Food Pantry

General Intake Form

What happens next...

Initial Contact

Find the Support You Need – All in One Place

Find the Support
You Need –
All in One Place