The CTAP applicant is responsible for providing all required information in this application, and all information provided by the applicant must be complete and accurate. The Clinical Trial Verification Form must be completed and signed by a member of the clinical trial team (doctor, nurse, social worker, trial coordinator) and submitted as part of this application. Click here to download the form.
Applications will be reviewed by the Chordoma Foundation and a Chordoma Foundation Patient Navigator will notify the applicant of approval status within five (5) business days. Assistance is based on meeting all Chordoma Foundation Clinical Trial Assistance Program eligibility requirements AND on the availability of funds for our program services, and awards are made in the Chordoma Foundation's sole discretion. Complete applications are reviewed for eligibility in the order they are received.
Once an application is approved, participants will need to review and sign a Participant Agreement, and participants will be responsible for submitting receipts that verify allowed purchases. Funds are distributed monthly to participants via a debit card.
We will not reimburse any expenses that are, or will be, reimbursed by the clinical trial sponsor.
PLEASE NOTE: You can save your progress on this form and come back to it, if needed, by checking the box at the top of the page. If you need help with your application, please email support@chordoma.org or call +1 (919) 809-6779, ext. 114.
