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

Childhood Cancer Lantern
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Hawaii Children's Cancer Foundation

Financial Assistance Program

What you get

2020 yearly caps: $4,000 initially, $2,000 later in treatment, $1,000 off therapy; $2,000 for funerals. Covers medical, travel, lodging, housing, utilities, meals, childcare, education, counseling and car costs. Open now, but funds are limited, so ask early.

Who starts it
You, with their part of the form from your doctor
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

  • Your child is 21 or under at diagnosis.
  • First-year limits restart after relapse or transplant; total help cannot exceed $4,000 in 12 months.
  • Confirm these 2020 limits before relying on them; off-therapy help lasts up to 24 months.

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

    Hawaii Children's Cancer Foundation needs their part of the form from your doctor. Copy this message, or say it in person at the next visit.

    Hi [doctor’s name],

We’d like to apply to Hawaii Children's Cancer Foundation’s Financial Assistance Program. They offer 2020 yearly caps: $4,000 initially, $2,000 later in treatment, $1,000 off therapy; $2,000 for funerals, and they are taking applications now while funds last.

They need their part of the form from you. Their form and instructions are here: https://www.hccf.org/financial-assistance-application-form

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 front-door form
    Child's NameChild's Date of BirthParent/Guardian's Name
    Family application
    Name of the Child in Cancer TreatmentDOBParent/Guardian’s NameRelationship to childEthnicityPrimary AddressGenderTemporary Address if Away for TreatmentMobile Phone NoPersonal EmailEmployerBranch of Military ServiceMarital StatusChild Resides withNames of Siblings (include Foster Children), DOB, gender, and ethnicitySignature of Parent or Guardian
    For Medical Professionals Only · your care team fills this in
    DiagnosisDate of DiagnosisTreatment FacilityPrint name of treating oncologist or medical professionalSignature of treating oncologist or medical professional
    Authorization to Release Information
    Name(s) of physician, institution, or providerSignaturePrint NameRelationship to ChildSignature of WitnessPrint Name of Witness

    Have ready

    • Completed Authorization to Release Information form.
    • Corresponding receipts for each later Financial Assistance Request Form.
    • Signed letter explaining circumstances warranting special consideration, only when requesting an exception. Only if they ask.

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

    • Use the current online front-door form, then complete the official non-fillable PDF without altering it; obtain the treating-professional and witness signatures before submitting by the route HCCF confirms.

After you send

Confirm receipt with HCCF. For later reimbursements, submit request forms and corresponding receipts no later than 90 days after the eligibility period ends; HCCF does not promise to meet bill-payment deadlines. If you have not heard back by then, write and ask.

Full record, as published