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

Childhood Cancer Lantern
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The Victoria Rose Fund

Reach Out Program

What you get

A free personal report of resources for the cancer-related needs you select. Open now.

Who starts it
You, with a document from your 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

  • Reach Out information is opinion-based and not medical advice; every external program needs independent verification.
  • A provider must verify the patient or diagnosis.

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

    The Victoria Rose Fund needs a signed confirmation of the diagnosis 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 The Victoria Rose Fund’s Reach Out Program. They offer a free personal report of resources for the cancer-related needs us select, and they are taking applications now.

They need a signed confirmation of the diagnosis from you. Their form and instructions are here: https://www.victoriarosefund.com/

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

    Reach Out application
    First name (Parent/Guardian/Self); Last name (Parent/Guardian/Self)First name (Patient); Last name (Patient)Patient's AgeTownStateEmailWhat type of cancer are you or your loved one's diagnosed withWhich category best describes you or your loved ones cancer journeyIs this report for a VeteranWhat reports you would like to receive and/or select Apply if applying for an Uplift PackageThe Hospital or facility you or they are being treated at (N/A if this does not apply)Your or their Doctor's full nameAny social media accounts of yours or theirs (N/A if this does not apply)Upload a medical document stating your or their diagnosis * REQUIRED*I declare that the info I’ve provided is accurate & complete

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

    • Complete the online form, upload the professional medical document, affirm accuracy and completeness, and select Submit.

After you send

Expect a temporary delay of several weeks to a few months and watch you email for contact or the completed report. If you have not heard back in two weeks, write and ask whether it arrived.

Full record, as published