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

Get ready to apply

CURE Childhood Cancer

Counseling Program

What you get

Counseling Program for your child and your family. Ask whether requests are open.

Who starts it
You
How it’s sent
Online, on their website
Your time
About 30 minutes
Last checked
Aug 27, 2026
  1. What their form asksA preview, so you can gather things first. Fill it in on their site.

    Open their application ↗ Checked Aug 27, 2026

    What the form asks for

    CURE Counseling Application Form
    Date of ApplicationParent/Caregiver 1 Name — First NameParent/Caregiver 1 Name — Last NameRelationship to PatientEmailPhone (Cell)AddressParent/Caregiver 2 NameParent/Caregiver 2 Relationship to PatientParent/Caregiver 2 EmailParent/Caregiver 2 Phone (Cell)Name of Child Diagnosed With Cancer/LCH/HLH/Aplastic AnemiaChild's Date of BirthDiagnosisDate of DiagnosisHospitalMy Child IsName of Family Members For Whom You Are Seeking Therapy. (click + to add more family members)How do you prefer seeing your counselorHow did you hear about CURE's counseling programAny information you are looking for in a new therapist (i.e. specific specialties, religion, ethnicity, etc.) and any additional information you would like for us to know as we find options for you and your familyI Consent (Please check box giving consent)

After you send

CURE states it will contact the family; no response timetable is published.

Full record, as published