Patient Assistance

Sherry's Run Patient Assistance Printable Brochure

You may qualify for assistance if:

1. You are receiving treatment or are in palliative care due to a current cancer diagnosis.
2. You have a true financial need as determined by the Sherry’s Run Patient Assistance Board based on the availability of funds at the time of your request.  
3. You live in Wilson County, TN or a surrounding community.

1. Sherry's Run Patient Assistance Application – To be completed by patient or a representative of patient, signed and returned to Sherry’s Run Patient Assistance, P.O. Box 8, Lebanon, TN 37088
2. Sherry’s Run Permission Form (HIPAA Release Form) - To be completed by patient or a representative of patient, signed and returned to Sherry’s Run Patient Assistance, P.O. Box 8, Lebanon, TN 37088
3. Letter of cancer diagnosis and treatment plan from your Doctor – Mail to Sherry’s Run Patient Assistance, P.O. Box 8, Lebanon, TN 37088

If you do not have access to a printer, you may contact the Sherry's Run Patient Assistance office (615-925-9932 or This email address is being protected from spambots. You need JavaScript enabled to view it.) and the forms will be mailed to you.  You may also fax forms to: 615-784-4061.

Upon approval, a Sherry’s Run representative will speak with you and/or your representative to discuss your financial needs.  To ensure privacy, patients will be seen in the office by appointment only.

Sherry's Run works to bridge the gap created by a cancer diagnosis by assisting with:

• Utility Bills
• Housing Payments
• Prescription Assistance
• Health Insurance Premiums
• Medical Bills
• Grocery Assistance
• Gas Assistance