Written by a parent, not a doctor. Nothing here is medical advice.

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Carolina Children's Charity

Carolina Children's Charity Grant

What you get

Help with medical tests, equipment, medicines, and other medically necessary or beneficial services insurance does not cover. The amount isn’t published. Ask. Open now.

Who starts it
You, with a letter from your doctor
How it’s sent
Fax to 843-872-0609
Your time
An hour or so, plus waiting for the letter
Last checked
Aug 27, 2026

Before you start, check you fit

  • Your child is 18 or under.
  • Rent, utilities, summer camp, iPads, and birth, prematurity, or accident costs are excluded.
  • Household bills, birth/prematurity/accident costs, summer camp, and iPads are excluded.

  1. Ask your doctor for the letterStart here. This is the part that takes the longest.

    Carolina Children's Charity needs 3 things from your doctor. It has to cover 3 things. Copy this message, or say it in person at the next visit.

    Hi [doctor’s name],

We’d like to apply to Carolina Children's Charity’s Carolina Children's Charity Grant. Help with medical tests, equipment, medicines, and other medically necessary or beneficial services insurance does not cover. They are taking applications now.

They need 3 things from you: a letter, a letter, and a letter. The letter has to cover [child’s name]’s diagnosis, every requested item or service, and medical necessity and/or medical benefit of each request. Their form and instructions are here: https://www.carolinachildren.org/grant-information/

Could you write that when you have a chance? I’ll bring the printed form to our next visit, or I can email it. Thank you for everything you do for us.

[your name] · [phone]
    Copying is the only thing this page does with your text. Nothing is saved.

  2. Fill in their formPrint it, or fill it in on screen if the PDF allows.

    Open the application PDF ↗ Checked Aug 27, 2026

    What the form asks for

    Child, household, diagnosis, and funding request
    NAME OF CHILDMale / FemaleAGEDATE OF BIRTHNICKNAMEPARENT/GUARDIAN 1STREET / CITY / ZIP / COUNTYTELEPHONE: HOME / WORK / MOBILE / FAXE-MAILEMPLOYER / TITLE / WORK ADDRESSPARENT/GUARDIAN 2 name, address, contact, employer, title, and work addressNAMES & AGES OF OTHER CHILDREN IN YOUR HOMEDIAGNOSIS OF DISEASE AND/OR DISABILITY AND AGE AT DIAGNOSISOUTLINE OF FUNDING REQUESTED: Please be specific & include all costsItem or serviceSupplierAddress of supplierPhone numberHave you ever asked CCC for this item or service before
    School, medical providers, insurance, and other funding
    Does your child attend schoolName of schoolIf yes, does your child have access to this item or service requested while in schoolWill this item be used at home or at school? Please explainPlease explain why additional services are needed and/or why the item is needed in the homePRIMARY CARE-DOCTOR’S NAME / NAME OF PRACTICE / ADDRESS / PHONESPECIALIST-DOCTOR’S NAME / NAME OF PRACTICE / ADDRESS / PHONEMEDICAL INSURANCE: CARRIERMEMBER ID#CONTACT PERSON / PHONEMEDICAID ID#Is any portion of the item or service being requested covered by your insuranceI have checked with my insurance provider regarding my benefitsHave you applied for MedicaidWhat is the status of this applicationNAMES OF OTHER AGENCIES OR SERVICES CONTACTED FOR FUNDING / DATE CONTACTED / AMOUNT RECEIVED
    Show the rest of the form (2 more sections)
    Care coordination, waivers, and additional information
    DOES YOUR CHILD HAVE A CASEWORKER, SERVICE COORDINATOR OR EINAME OF YOUR PROVIDER/PERSON / PHONEDOES YOUR CHILD HAVE A SPEECH, OCCUPATIONAL or PHYSICAL THERAPIST, etc.? Please provide their name(s) and phone #(s)DOES YOUR CHILD HAVE ONE OF THE FOLLOWING WAIVERSWhat is your child’s number on the waiting listANY ADDITIONAL INFORMATION THAT COULD HELP IN PROCESSING YOUR REQUEST
    Consents, attestations, financial statement, and optional involvement interests
    You DO / DO NOT have my permission to send me information by faxYou DO / DO NOT have my permission to send me information by e-mailPermission to use my and/or my child’s name in promotion and fundraisingPermission to use my and/or my child’s photographic or video image in promotion and fundraisingSIGNATURE OF PARENT/GUARDIAN / DATE / Relationship to childASSETS: Checking and savings balances; real estate; car(s); personal property; other; total assetsMONTHLY EXPENSES and TOTAL EXPENSESMEDICAL BILLS DUE: Physician / HospitalMonthly and Annual/Yearly income and TOTAL INCOMESignature of Parent/Guardian / DatePlease mark your specific area(s) of interestName of the person completing this form / Daytime phone# / Email address

    Have ready

    • All six pages of the official grant application, completed and signed.
    • Top two pages of the previous year's Federal tax return (1040) when the request is above $300; the FAQ says the return must be no more than two years old.
    • Signed and dated letter stating that the parent or guardian did not file taxes for the previous year, used instead of the return when applicable.
    • Available brochure, picture, or other information supporting the requested item or service.

  3. Fax your application and the letter togetherTo 843-872-0609.

    • Submit the completed signed six-page application with the signed MD letter and every applicable tax, therapy, and supporting document.
    • The FAQ permits submission by mail, email, or an office drop-off scheduled in advance; the form publishes fax 843-872-0609 and mailing address PO Box 30068, Charleston, SC 29417.
    • The FAQ does not identify one application-specific email address, so confirm the correct email with the charity office before sending sensitive documents electronically.

    Fax: 843-872-0609

After you send

Confirm that CCC received the completed application, doctor letter, tax material, and any applicable progress reports; incomplete packets are not reviewed. Requests above $500 generally go to the Grants Committee, which usually meets monthly; a complete packet submitted by the first Monday is typically reviewed at the next week's meeting. If you have not heard back in two weeks, write and ask whether it arrived.

Full record, as published