Be a part of our Mission

Become a Partner Agency

As a Home Care Agency, you understand better than all of us how important it is to receive care at home.  You also see everyday many Seniors and those battling Breast Cancer that need care but can’t afford it, and don’t qualify for state assistance.

That’s where we come in.  Purposely setting our minimum at $1 over the state cap for waiver eligibility allows us to help many seniors that would not otherwise qualify for assistance.

By becoming a Partner Agency, you’ll become eligible to receive Grants to help fund care for those seniors and breast cancer patients that otherwise wouldn’t be able to get the care they need and so rightly deserve.

The process is simple – fill out our Home Care Agency Enrollment Form and email it to us at admin@cherylkayfoundation.org.  We’ll follow up with a phone call, review the application, and educate you on our criteria, the application process and how best to identify a potential grant recipients.


Agency Resources

Home Care Agency Enrollment Form

Agency FAQ

Client Information Form

HIPAA

Financial Affidavit