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

Childhood Cancer Lantern
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Children's Cancer Partners of the Carolinas

Monthly Family Connection Events

What you get

Bingo, virtual games, dance, prizes, and other family activities. Ask whether requests are open.

Who starts it
You, with their part of the form from your social worker
How it’s sent
Online, on their website
Your time
About 30 minutes, plus waiting for the form
Last checked
Aug 27, 2026

Before you start, check you fit

  • Current access, capacity, limits, or exact schedule are not fully published.

  1. Ask your social worker for their part of the formStart here. This is the part that takes the longest.

    Children's Cancer Partners of the Carolinas needs their part of the form from your social worker. It has to cover 3 things. Copy this message, or say it in person at the next visit.

    Hi [social worker’s name],

We’d like to apply to Children's Cancer Partners of the Carolinas’s Monthly Family Connection Events. They offer bingo, virtual games, dance, prizes, and other family activities, and we are checking whether they are taking requests.

They need their part of the form from you. It has to cover expected treatment duration, treatment-plan details, and explanation if not currently in treatment. Their form and instructions are here: https://childrenscancerpartners.org/familyresources/

Could you do that when you have a chance? I can send you the link, or bring a printout to our next visit. 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 applicationIt is on their website.

    Open their application ↗ Checked Aug 27, 2026

    What the form asks for

    Online family/community referral
    Referred from (Guardian/Doctor/Hospital/Other)Pediatric Cancer Treatment CenterHospital Social Worker's NameChild's NameChild's State of ResidencePrimary Contact NameContact NumberEmailChild's Diagnosis (if known)Other Comments
    July 2026 treatment-center referral PDF
    Date of Referral; HospitalPatient Name; DOB; Age; GenderDiagnosis; Date of Initial Diagnosis; Date of RelapseHow long will patient be in treatmentDetails of treatment plan? If not in treatment, please explainAddress; Address Line 2; City; State; Zip; CountyCaregiver #1 and #2 names, roles, phones, and email addresses; Preferred Language; Sibling(s) Name(s)Is family interested in CCP mileage/meal/parking reimbursementsAny specific needs (out of state travel, urgent requests, etc.)Social Worker Name; SW Phone; Social Worker Signature; DateMedicaid Provider; Medicaid NumberParent Signature (patient sign if age 18+)

  3. Submit it on their websiteSend their part of the form with your application, or the way they ask.

    • Submit the public online referral on the official CCP page.
    • The hospital social worker sends the signed July 2026 PDF to the published staff email or fax, or uses the social-worker portal.

After you send

CCP says a Family Navigator will respond within 24-48 business hours. Use the Director of Family Services contact on the referral page if confirmation is not received. If you have not heard back by then, write and ask.

Full record, as published