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

Childhood Cancer Lantern
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Kelly’s Dream

Financial Assistance

What you get

Up to $300 for childcare, food, other daily living expenses, transportation to and from treatment and utilities. Open now, but funds are limited, so ask early.

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

Before you start, check you fit

  • Only nonmedical expenses are covered.
  • The maximum is $300 per 365 days.
  • Maryland residence and active cancer treatment are required.

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

    Kelly’s Dream needs a signed confirmation of the diagnosis from your doctor. It has to cover 4 things. Copy this message, or say it in person at the next visit.

    Hi [doctor’s name],

We’d like to apply to Kelly’s Dream’s Financial Assistance. They offer up to $300 for childcare, food, other daily living expenses, transportation to and from treatment and utilities, and they are taking applications now while funds last.

They need a signed confirmation of the diagnosis from you. It has to cover current diagnosis, active-treatment confirmation, treatment center, and provider contact information. Their form and instructions are here: https://www.kellysdream.org/support-or-get-help/apply-for-financial-assistance

Could you do 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

    Applicant information and request
    NamePhoneEmailCountyAddress, City, State, ZipDiagnosisCancer Treatment CenterPhysicianPhysician’s PhoneAre you in active treatmentPlease tell us a little about your situation. Additional space on the back of page, if neededPlease tell us about the assistance you need, including the cost for this service. (Please include receipts when submitting)What other resources / organizations have you contacted for assistance? What was receivedHow did you hear about Kelly’s DreamMarital StatusSexAgeRace
    Applicant certification and signatures
    I certify that all answers provided in this application are true, accurate and completeApplicant Signature and date
    Medical Certification Form · your care team fills this in
    Patient NamePhysician or Healthcare Provider’s NameCurrent DiagnosisIs the patient currently in active treatmentCancer Treatment CenterPhysician’s PhoneEmailOffice Address, City, State, ZipPhysician Signature
    For office use
    Date; Received by; Patient’s Name; Notes; Granted

    Have ready

    • Completed four-page Application for Assistance, signed and dated by the applicant at the bottom of every page.
    • Bills or receipts supporting the requested service or expense.
    • Documentation of reduced income, such as pay stubs or an employer notice, or approval into the Critical Medical Needs Program.

  3. Email your application and the document togetherTo kelly@kellysdream.org. Or post it to the address on the form.

    • Email the completed application, Medical Certification Form, bills or receipts, and income-loss documentation to kelly@kellysdream.org, or mail the packet to Kelly’s Dream, PO Box 36, Perry Hall, MD 21128.

    Email: kelly@kellysdream.org

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

Hello,

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

Thank you,
[your name] · [phone]

After you send

Watch for an email or letter with the outcome. If Kelly’s Dream requests additional information, respond through the contact method used in that message. If you have not heard back in two weeks, write and ask whether it arrived.

Full record, as published