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

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Foundation of Onvida Health

Pediatric Oncology Support Fund

What you get

Up to $2,500 a year for financial hardship caused by your child's cancer, paid to creditors. Ask whether requests are open.

Who starts it
You, with their part of the form from your social worker or doctor
How it’s sent
Email to Foundation@onvidahealth.org
Your time
About 30 minutes, plus waiting for the form
Last checked
Aug 27, 2026

Before you start, check you fit

  • The hardship must be directly caused by your child's illness.
  • Ask whether funds are available before relying on a payment.
  • The hardship must be directly attributable to the child’s illness.

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

    Foundation of Onvida Health needs 2 things from your social worker or doctor. It has to cover 3 things. Copy this message, or say it in person at the next visit.

    Hi [social worker’s name],

We’d like to apply to Foundation of Onvida Health’s Pediatric Oncology Support Fund. They offer up to $2,500 a year for financial hardship caused by our child's cancer, paid to creditors, and we are checking whether they are taking requests.

They need 2 things from you or someone on the care team: a signature on the form and a signed confirmation of the diagnosis. It has to cover medical condition, anticipated hospital stay, and other notable facts relevant to the request. Their form and instructions are here: https://www.onvidahealth.org/foundation-of-onvida-health/areas-to-support-cancer/

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

    Patient and household information
    Patient NameDOBGenderEthnicityParent/Legal Guardian NameAddress, City, State, Zip CodeCell phoneAnnual Household IncomeNumber of household membersNumber in schoolPlease include additional information about your current financial situation that you would like us to know, such as a financial hardship, seasonal or temporary income, or personal lossIntended use of grant (please provide bills paid directly to the creditor with the creditor name, account number, mailing address, family’s last name, and dollar amount owed)
    Medical Information Form · your care team fills this in
    Patient NamePatient DiagnosisDate of Diagnosis (Month-Day-Year)Patient PhysicianHospital, Address, City, State, Zip CodeHealth Care/Social Worker’s name and agencyHealth Care/Social Worker’s Direct Phone Number and Extension; Health Care/Social Worker EmailPatient’s medical condition, anticipated hospital stay, and any other notable facts (please attach a letter if needed)Health Care/Social Worker’s Hand-Written Signature
    Agreement
    Opt outSignature of PatientSignature of Legal Healthcare Decision Maker

    Have ready

    • One published form of income proof: first two pages of signed tax return with SSN blacked out; most recent pay stub, unemployment check, SSI, SSD, or public-assistance benefit notice; or a support letter if the household has no income.
    • Bills for direct payment to the creditor, including creditor name, account reference, mailing address, family last name, and amount owed;.

  3. Email your application and their part of the form togetherTo Foundation@onvidahealth.org. Your social worker or doctor can send it instead if their part of the form has to stay with them.

    • Before sending personal and medical information, contact the Foundation at 928-336-7045 or Foundation@onvidahealth.org to confirm the accepted submission channel; the form publishes contact details but no explicit submission instruction.
    • Submit the completed application, the accepted income-proof document, and creditor bills through the route Foundation staff confirms.

    Email: Foundation@onvidahealth.org

    Subject: Pediatric Oncology Support Fund application, [child’s name]

Hello,

Attached are our completed application and the form 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

Ask Foundation staff how receipt and decisions are communicated, because the form publishes no confirmation or review timeline. If you have not heard back in two weeks, write and ask whether it arrived.

Full record, as published