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

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Gilda’s Club Kentuckiana

Pediatric Financial Assistance

What you get

A one-time award: the application says a $500 check, while the program page says a $250 Kroger, Walmart or Speedway gift card. Ask which you would receive. Open now.

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

Before you start, check you fit

  • Your child is 29 or under.
  • One application per household.
  • Ask whether help is available after treatment ends; the stated treatment rules differ.

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

    Gilda’s Club Kentuckiana needs a signed confirmation of the diagnosis from your social worker or doctor. Copy this message, or say it in person at the next visit.

    Hi [social worker’s name],

We’d like to apply to Gilda’s Club Kentuckiana’s Pediatric Financial Assistance. They offer a one-time award: the application says a $500 check, while the program page says a $250 Kroger, Walmart or Speedway gift card, and they are taking applications now.

They need a signed confirmation of the diagnosis from you or someone on the care team. Their form and instructions are here: https://gck.org/resources/gildas-club-financial-assistance/

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

    Family online application
    NameDate of Birth: (mm/dd/yyyy)EthnicityGenderPrimary LanguageMailing address (no PO boxes)Phone numberEmailParent (or Guardian) NameParent Phone NumberParent EmailRelationship to PatientReferral NameReferral Phone NumberReferral EmailReferral Relationship to Patient
    Medical professional verification · your care team fills this in
    DatePatient nameDate of diagnosisType of cancerPrinted nameSignaturePhone numberEmailTreatment center/clinicMailing address

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

    • Submit the family application online.
    • The medical professional separately emails or mails the signed verification form.

    Email: GCKfinancial@gck.org

After you send

Contact Gilda’s Club if confirmation of either part is needed.

Full record, as published