Request Help

We're Here for Your Family

Whether it's a milestone celebration or daily support, our team is ready to help. Submit a request below and we'll respond within 3 business days.

Submit Request

Choose the type of support you need and fill out a short form with your family's details.

We Review

Our team reviews your request and may reach out to your hospital social worker for verification.

Support Delivered

We coordinate delivery of comfort kits, hope boxes, or other support directly to your family.

Get Started

Choose Your Request Type

Tell us about your child and family needs so we can coordinate comfort kits, caregiver care, or other practical support. We'll follow up within 3 business days.

Application submitted by *

Child's Name *

Child age *

Diagnosis *

Parent/Guardian Name(s) *

Home/Cell Phone Number *

Email *

How did you hear about this program?

Support Type *

Request details *

Shipping Address

Full shipping address *

Hospital/Medical Facility

Hospital Name *

City *

State *

Hospital Social Worker Name *

Hospital Social Worker Phone *

Hospital Social Worker Email *

By checking the following boxes I accept the following termsI understand that this is a gift to my child. The organization is not liable for harm caused by this gifts.I give permission to use a photo of my child to help promote this program. No last names or addresses will be disclosed.I give the organization permission to verify the above information with my child’s social worker listed above.

Parent/Guardian Signature *

Date *

Family Voices

Hear From Those We Serve

Thank you so much for stopping by, my little sister was very excited with the Hope Box. It really means a lot when you spend a lot of your time in hospitals and clinicals. I really appreciate you guys took your time to come and meet her. Your kind letter left me with no words and in tears, but most of all with hope. We appreciate the love support during D’s battle.

D's Family • B-ALL Leukemia • Wenatchee, WA

Not Sure Where to Start?

Browse our resources page for partner organizations, FAQs, and helpful links for families navigating childhood cancer.

Browse Resources Back to Families