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

Childhood Cancer Lantern
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Ethan Jostad Foundation for Childhood Cancer

Family Financial Assistance

What you get

Financial help during your child's cancer treatment. The amount and covered bills aren't published. Ask. Open now, but funds are limited, so ask early.

Who starts it
You, with a signature from your social worker or doctor
How it’s sent
Email to info@ethanjostadfoundation.org, or by post
Your time
About 30 minutes, plus waiting for the signature
Last checked
Aug 27, 2026

Before you start, check you fit

  • Your child is 17 or under.
  • A qualified hospital social worker, oncology registered nurse, or physician must complete the medical section.
  • Assistance is subject to available funds.

  1. Ask your social worker or doctor for the signed formStart here. This is the part that takes the longest.

    Ethan Jostad Foundation for Childhood Cancer needs a signature on the form from your social worker or doctor. It has to cover 2 things. Copy this message, or say it in person at the next visit.

    Hi [social worker’s name],

We’d like to apply to Ethan Jostad Foundation for Childhood Cancer’s Family Financial Assistance. Financial help during our child's cancer treatment. They are taking applications now while funds last.

They need a signature on the form from you or someone on the care team. It has to cover our child’s current medical condition and circumstances requiring financial assistance. Their form and instructions are here: https://www.ethanjostadfoundation.org/financial-assistance

Could you sign 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

    Section 1 · Patient & Family Information
    Diagnosed Child’s NameAgeDate of BirthGenderParent or Legal Guardian Name(s)Address, City, State, Zip CodeHome PhoneCell PhoneEmail AddressParent/Legal Guardian SignatureDate
    Section 2 · Medical Information · your care team fills this in
    Type of Childhood CancerDate of DiagnosisMedical Facility or Hospital Currently Treating the ChildName of Child’s Physician (Oncologist)Physician’s Address, City, State, Zip CodePhysician’s PhoneChild’s current medical condition and circumstances requiring the need for financial assistanceName and Title of Medical Representative (print please)PhoneEmail AddressMedical Representative SignatureDate

  3. Email your application and the signed form togetherTo info@ethanjostadfoundation.org. Or post it to the address on the form.

    • Mail to Ethan Jostad Foundation for Childhood Cancer, P.O. Box 1070, Eagle Point, OR 97524; or email the signed form to info@ethanjostadfoundation.org; or fax it to (866) 879-9320.

    Email: info@ethanjostadfoundation.org

    Fax: 866) 879-9320

    Subject: Family Financial Assistance application, [child’s name]

Hello,

Attached are our completed application and the signature from [social worker’s name] at [hospital]. Please let me know that it arrived and if anything is missing.

Thank you,
[your name] · [phone]

After you send

Retain a copy and confirm receipt directly with EJF; no official review timeline is published. If you have not heard back in two weeks, write and ask whether it arrived.

Full record, as published