How to Qualify for Assistance

1. As of February 1, 2005 there is a one time $10 non-refundable application processing fee. Make check or money order payable to The Charles Ray III Diabetes Association, Inc.. Please contact our office to receive an application to qualify for assistance. Once you receive the application, please fill it out and mail it to The Charles Ray III Diabetes Association, Inc.-P. O. Box 792-Apex, NC 27502 along with your $10 processing fee and a typed letter from your Dr. on his/her letterhead stating that you are in need of assistance with diabetic testing supplies. This letter also need to explain your dilemma. (Uninsured, unemployed, etc.).
   This letter needs to be specific regarding the exact name of the testing supplies you are in need of. If requesting a glucose machine, please specify the brand name and if any alternate machine or supplies will be acceptable. Your Dr. also needs to include your name, mailing address and phone number in the letter.

2. Once we receive the information from your Dr., the supplies will be shipped out within 7 to 10 business days. (IF FUNDING IS AVAILABLE)

3. PLEASE CALL THE CHARLES RAY III DIABETES ASSOCIATION, INC. AT 919-303-6949 AND ASK FOR CHARLES RAY, III.

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For more information, please contact Charles Ray III at (919) 303-6949 or via email chuck@charlesray.g12.com.