Compete the two steps below to apply for Immediate Medication Assistance:
- Use the paper form, Immediate Medication Assistance Application, if you need immediate assistance paying for medications as soon as possible. Print and complete the form and take it to one of the two pharmacies partnering with The APG Foundation, and
- Complete the application below, following the instructions within the application, OR Complete paper forms, Medication & Protheses Assistance Application and Confirmation of Diagnosis, and mail them to The APG Foundation, P.O. Box 1248, Cedar Rapids, IA 52406-1248 OR scan and email the documents to firstname.lastname@example.org.