Get ready to apply
Children's Cancer Partners of the Carolinas
Gift-in-Kind Family Essentials
What you get
Everyday supplies such as shampoo, paper towels, detergent, and diapers. 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.
-
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 Gift-in-Kind Family Essentials. They offer everyday supplies such as shampoo, paper towels, detergent, and diapers, 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/wish-list/ 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. -
Fill in their applicationIt is on their website.
Open their application ↗ Checked Aug 27, 2026What the form asks for
Online family/community referralReferred 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 CommentsJuly 2026 treatment-center referral PDFDate 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+) -
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.
