As See, Test & Treat continues to demonstrate its impact on communities across the United States; we are experiencing an overwhelming response to host programs in many communities.

The 2019 See, Test & Treat RFA period will open on Friday, June 1, 2018 and close at 5:00 pm CT on Friday, August 31, 2018. All sites wanting to host a program and apply for See, Test & Treat funding in 2019, must submit the Pre-Screening Questionnaire and Program/Grant Application by the August 31, 2018 deadline. For repeat programs, please fill out the Program/Grant Application ONLY. That application can be found here.

The CAP Foundation will continue to offer grants of up to $20,000 to support See, Test & Treat program expenses that other grants and in-kind donations do not cover. As  See, Test & Treat continues to expand, we look to repeat programs to become more self-sustaining and actively pursue other sources of funding in addition to securing in-kind donations in the areas of refreshments/food, supplies, promotion and publicity.

Your responses to these questions will help determine if you are ready to host a See, Test & Treat program. If you answer No to any of the questions, contact CAP Foundation Programs Staff for potential solutions (Julia Rankenburg at 847-832-7931 or jranken@cap.org).

Requirements of all See, Test & Treat programs:
* CAP member pathologist program leader(s) or co-leaders
* Underserved patient population
* Hospital or clinic program host site/location
* Partnership between pathologists and Multispecialty Volunteer- clinical team
* Host site for care of patients
* Capacity to provide a pelvic and breast exam, Pap test and mammogram to eligible women.
* Provision of same-day Pap test results delivered personally to patients on-site.
* Provision of same day or prompt mammogram results (within one week)

Application Requirements:
* Must be a CAP member to apply
* Must be able to meet all program requirements listed above
Contact Information - Only CAP members may apply for a See, Test & Treat Grant 

Question Title

* 1. Contact Information - Only CAP members may apply for a See, Test & Treat Grant 

Host Site Name

Question Title

* 2. Host Site Name

See, Test & Treat® (STT) is a US-based screening program for women meeting the eligibility requirements as defined by the ACS/ACOG screening guidelines and face healthcare disparities, socioeconomic or other barriers to accessing routine healthcare. STT is not for women currently accessing care through the host hospital or clinic.
Have you identified a local community population with demonstrated need for a See, Test & Treat® program?

Question Title

* 3. Have you identified a local community population with demonstrated need for a See, Test & Treat® program?

Are you a current CAP member or are you working with a CAP member?

Question Title

* 4. Are you a current CAP member or are you working with a CAP member?

Are you willing to lead or co-lead the planning, coordination, and on-site execution of a See, Test & Treat® program?

Question Title

* 5. Are you willing to lead or co-lead the planning, coordination, and on-site execution of a See, Test & Treat® program?

Do you have the support of your hospital or clinic or the commitment from a local healthcare facility to host a one-day screening program?

Question Title

* 6. Do you have the support of your hospital or clinic or the commitment from a local healthcare facility to host a one-day screening program?

Is the host site a 501(c)3 organization?

Question Title

* 7. Is the host site a 501(c)3 organization?

If no to question 6, can you identify a 501(c)3 organization to act as recipient and fiduciary of CAP Foundation grant funding?

Question Title

* 8. If no to question 6, can you identify a 501(c)3 organization to act as recipient and fiduciary of CAP Foundation grant funding?

Can you secure the volunteerism and support of the following stakeholders to assist with planning and hosting your See, Test & Treat® program:

Question Title

* 9. Can you secure the volunteerism and support of the following stakeholders to assist with planning and hosting your See, Test & Treat® program:

  Yes No
Host site (Hospital/Clinic/Community Health Center)
Administration/Medical Director
Pathologist/Pathology Department
Laboratory
Gynecologist/Gynecology Department
Radiologist/Radiology Department
Medically Certified Interpreters
Patient Advocate/Community Outreach Department
Patient Registration
Financial Aid Department
Public Relations/Marketing/Communications
Do you have the capabilities in your hospital, clinic or nearby facility to provide the following services with same-day results:

Question Title

* 10. Do you have the capabilities in your hospital, clinic or nearby facility to provide the following services with same-day results:

  Yes No
Clinical pelvic exam
Pap test
Clinical breast exam
Screening mammography
For women who are diagnosed with abnormal cervical or breast results, does the host site have the capability to either provide same-day or timely additional procedures or tests for the following:

Question Title

* 11. For women who are diagnosed with abnormal cervical or breast results, does the host site have the capability to either provide same-day or timely additional procedures or tests for the following:

  Yes No
Colposcopy
LEEP
Mammogram (additional diagnostic views)
For women who present with abnormal cervical or breast results, is there a referral system in place for connecting women to necessary care and treatment?

Question Title

* 12. For women who present with abnormal cervical or breast results, is there a referral system in place for connecting women to necessary care and treatment?

Can you secure culturally sensitive, patient-centered, translated education?

Question Title

* 13. Can you secure culturally sensitive, patient-centered, translated education?

Will your See, Test & Treat® program include culturally sensitive, patient-centered health information on any of the following topics:

Question Title

* 14. Will your See, Test & Treat® program include culturally sensitive, patient-centered health information on any of the following topics:

  Yes No
What is a Pap test?
Why is cervical cancer screening important in maintaining a women’s health?
What is a mammogram?
Why is having a mammogram important in maintaining a women's health?
Demonstration or information about how to perform a self-breast examination.
The opportunity to view slides of healthy and abnormal specimens with a pathologist or pathology resident.
Opportunity for patients to discuss their results with a pathologist.
Education about healthy lifestyle.
Education or demonstrations about healthy nutrition.
Information about eligibility requirements for financial aid or charity program, state or federal program or health insurance marketplace exchange.

T