Help with cost

Need financial assistance?

If you were referred to a Neocore program and paying the full price would be hard for you, you can ask us to take another look. Tell us a bit about your situation. We'll review your application and email you, usually within a day or two.

We reply by email, so you know what support you may qualify for and what happens next
Cost questions stay with us. Your clinic helped you start the program; we'll work with you on price and support

Need help with the form? contact@neocorehealth.com

Clinics and health systems: partner with Neocore.

Your application

The questions below are about your situation. We use your answers only to review whether support may be a fit.

First name

Last name

Please use the same email you used to sign up for your Neocore program. That helps us connect this application to your account.

Do you receive public benefits (e.g. Medicaid, SNAP)?

YesNo

Annual household income (approximate)

Financial stressors (select any that apply)

Job loss / income reduction
Medical expenses
Caregiving burden
Housing instability

Ability to pay the standard program price

Supporting documentation (optional)

Briefly note documents you can share if asked (e.g. benefits letter). We may contact you through a secure channel to collect files.

I confirm that what I've shared here is accurate to the best of my knowledge. Neocore may use it only to consider my request for support.

We'll email you with a decision or next steps. Support depends on your situation. See our Terms & Conditions and Privacy Policy.