Application

TOUCH provides non-medical financial assistance for cancer patients meeting certain financial criteria outlined in the “Who We Can Help” section. Please download the TOUCH APPLICATION and send the filled out and signed forms to:

TOUCH  INC.
904 S. St. James Blvd
Evansville, IN 47714

Download a PDF copy of the application by clicking here. (You will need Adobe Reader to view this document. To download the free version of Adobe Reader, click here.)

To request a copy of the application form, please contact Sandy Feltz by phone at (812) 437-3594, email contact@touchindiana.org or by mail.