Default View High Contrast View Text Only View
Font Size: A A A

Request Patient Navigation

For Patients or Clients

After completing this form, one of our ThriveNV navigators will contact you within 2-3 business days. We appreciate your time in answering the questions below which will help our team find resources based on your needs and/or situation.

We look forward to assisting you.

First name
Last name
Phone
City and Zip code
Preferred Pronouns
Race
Contact preference
Preferred language
Year of Birth
Type of cancer and diagnosis date, if applicable
Status (choose one)
Do you have a provider/doctor? If yes, please enter their name and office name/facility.
Do you have any of the following helping you?

Answers to the following questions will help us to find the right resources to help you, and any others for which you may qualify.

What resources are you looking for?
Do you have health insurance?
Do you have dependents? If so, how old are they?
How did you hear about ThriveNV?
Navigation Consent and Confidentiality Agreement
Review the agreement here.
Navigation Consent and Confidentiality Agreement
Review the agreement here.
Authorization for the Release of Protected Health Information
Access the Authorization here.
Authorization for the Release of Protected Health Information
Access the Authorization here.

For Caregivers

After completing this form, one of our ThriveNV navigators will contact you within 2-3 business days. We appreciate your time in answering the questions below which will help our team find resources based on your needs and/or situation.

We look forward to assisting you.

Please share the following information about yourself.

First name
Last name
Phone
City and Zip code
Preferred pronouns
Your race
Contact preference
Preferred language
Relationship to patient/client
How did you hear about ThriveNV?

Please share the following information about the person for whom you are caregiving. Providing these details will help us to find the right resources to provide assistance, including additional ones for which they may qualify.

Type of cancer and diagnosis date, if applicable
Status (choose one)
Does the person you are caring for have insurance?
Does the person you are caring for have a provider/doctor? If yes, please enter their name and office name/facility.
Does the person you are caring for have dependents? If so, how old are they?
What resources are you looking for?
Navigation Consent and Confidentiality Agreement
Review the agreement here.
Navigation Consent and Confidentiality Agreement
Review the agreement here.

I have nothing but good things to say about this organization. Starting with the staff, they are caring, friendly, and very knowledgeable! I immediately felt like they were looking out for the best interest of my sick mother. My main contact was Valerie and she provided me and my mother with all… Read More

Grecia, M., Caregiver, Las Vegas

ThriveNV has been an amazing program to work with! I live in a rural part of Nevada, which means that sometimes resources are difficult to find. Working with ThriveNV and Amy Thompson made all of the difference. They were able to connect us with resources and eased the burden of trying to piece… Read More

Bre T., Caregiver and Community Partner, Rural

I have been extremely impressed with the professionalism, expertise, and supportive resources that ThriveNV has provided to our community. Additionally, having bi-lingual community partners ensures that our patient population is afforded the communication and support they deserve.

Kim D., Community Partner, Southern Nevada

Jorge, I am so grateful for you and your organization, both do so much for our cancer community. You have shown the utmost respect, knowledge and care towards me and my health. You listen, answer all my concerns and are always ready and willing to assist me. You always take the initiative and… Read More

I.A., Ovarian Cancer, Las Vegas

I am very pleased with the assistance and guidance I received from the patient navigator and ThriveNV. I will definitely refer my family and friends to this service.

R.C.G, Breast Cancer
ThriveNV has become a resource of resources for cancer patients and survivors in the state of Nevada. The patient navigators have been incredibly helpful as we share resources to help patients, caregivers, and medical professionals. The addition of bilingual navigators has been an enormous value-… Read More
Natalie S., Survivor and Community Partner

Nevada Cancer Coalition's [ThriveNV program] is the best resource in Nevada for everything cancer. They are so knowledgeable and willing to assist whenever needed. I always say, ‘I wish every state had this program because the care and knowledge you all have is unmatched!' They are experts at… Read More

Nicole, Community Partner / Patient Navigator

With the help of ThriveNV and the Nevada Cancer Coalition, CHA has been able to stay up to date on patient resources, whether it's cancer prevention or cancer treatment this Coalition knows it all. Throughout the years, we have collaborated on cancer prevention projects and patient navigation. I… Read More

Liz, FQHC Cancer Care Coordinator, Community Clinic Partner, Northern Nevada

Working together with ThriveNV, specifically with Amy Thompson, made all the difference when it came to giving our mutual patient the resources and the help he needed to get back to good health. By having the support and input of ThriveNV, I found the necessary tools to pave a clear and easy… Read More

Ivonne, Case Manager, Community Clinic Partner, Northern Nevada