Get ready to apply
Love, Chloe Foundation
Financial Support Grant
What you get
Up to $1,500 per request and $3,000 during the whole treatment for food, clothing, housing, transportation, or medical bills. Open now, but funds are limited, so ask early.
- Who starts it
- You, with a letter from your doctor
- How it’s sent
- Email to heidi@lovechloe.org, or by post
- Your time
- About 15 minutes, plus waiting for the letter
- Last checked
- Aug 27, 2026
Before you start, check you fit
- Your child is 17 or under at diagnosis.
- One request is allowed in any 12-month period.
- Current treatment/follow-up eligibility and the full list of permissible expenses conflict across official sources.
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Ask your doctor for the letterStart here. This is the part that takes the longest.
Love, Chloe Foundation needs a letter 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 Love, Chloe Foundation’s Financial Support Grant. They offer up to $1,500 per request and $3,000 during the whole treatment for food, clothing, housing, transportation, or medical bills, and they are taking applications now while funds last. They need a letter from you confirming [child’s name]’s diagnosis and our situation. Their form and instructions are here: https://lovechloe.org/financial-grant Could you write 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. -
Fill in their formPrint it, or fill it in on screen if the PDF allows.
Open the application PDF ↗ Checked Aug 27, 2026What the form asks for
Parent and Child InformationParent/Guardian’s Name (first, middle, last)Street; City; State; Zip CodeHome Phone; Daytime PhoneEmail addressChild’s Name (first, middle, last)Date of BirthSocial Security #Type of Cancer DiagnosedDate of DiagnosisMedical Institution where Diagnosed/TreatedName of Treating Physician; Phone # and Email Address of PhysicianAssistance RequestI confirm that I am my child’s primary caregiver and that as a result of a severe economic hardship due to my child’s cancer, my family has suffered a short-term emergency need for assistance with basic necessitiesI request emergency assistance in the amount of $____________ (up to $1,500)Which will be used as followsI grant / do not grant permission for the Love, Chloe Foundation and its representatives to use photographs, audio recordings, letters, survey information or video recordingsI heard about the Love, Chloe Foundation through the followingAuthorization and SignatureAuthorize diagnosis verification and necessary information release; attest that the application is true and correctSignature of Parent/GuardianDateHave ready
- Photocopy of the child's birth certificate or other evidence of parental or guardian status.
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Email your application and the letter togetherTo heidi@lovechloe.org. Or post it to the address on the form.
- Send the completed signed application and both required accompanying documents by email to heidi@lovechloe.org or by mail to Love, Chloe Foundation, 111 S 5th St., Salina, KS 67401.
Email: heidi@lovechloe.org
Subject: Financial Support Grant application, [child’s name] Hello, Attached are our completed application and the letter 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 contact after the approximately monthly Family Support Council review; call (785) 342-5534 or email heidi@lovechloe.org with application-process questions. If you have not heard back in two weeks, write and ask whether it arrived.
