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

Childhood Cancer Lantern
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Voices Against Cancer

Family Assistance Program

What you get

Gift cards for gas, groceries, lodging, and medical items insurance does not cover. The amount isn't published. Ask. 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 info@voicesagainstcancer.org
Your time
About 30 minutes, plus waiting for the document
Last checked
Aug 27, 2026

Before you start, check you fit

  • Your child is 18 or under.
  • A physician form is required.
  • Funding is not assured when an application is submitted.

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

    Voices Against Cancer needs a signed confirmation of the diagnosis from your doctor. It has to cover 2 things. Copy this message, or say it in person at the next visit.

    Hi [doctor’s name],

We’d like to apply to Voices Against Cancer’s Family Assistance Program. Gift cards for gas, groceries, lodging, and medical items insurance does not cover. They are taking applications now while funds last.

They need a signed confirmation of the diagnosis from you. It has to cover our child name and return or submission coordination. Their form and instructions are here: https://voicesagainstcancer.org/assistance-application/

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

    Patient/Family Information
    Patient Name *Patient D.O.B. *Parent/Guardian Name 1: *Parent/Guardian Name 2Current Address *Best Phone Number *Email *Receiving Treatment at: *Assistance Need #1 *Assistance Need #2 *Assistance Need #3 *Have you applied for, or received financial assistance, from Voices Against Cancer before? *If yes, whenSignature *Date / Time *Relationship to Patient: *
    Physician Information · your care team fills this in
    Physician/Hematologist/Oncologist Name *Hospital/Clinic/Facility or Practice Name *Address *Phone *Email *Patient Name *Patient Diagnosis *Is this child currently (within the last 12 months) under your care? *Signature

    Have ready

    • Completed Patient/Family Information form.

  3. Email your application and the document togetherTo info@voicesagainstcancer.org. Your doctor can send it instead if the document has to stay with them.

    • Both forms must be received. Use the two online forms, or email the downloaded patient and physician forms to info@voicesagainstcancer.org.

    Email: info@voicesagainstcancer.org

    Subject: Family Assistance Program 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

Confirm both forms were received before expecting review; no review timeline is published. Submitting an application does not guarantee funds will be available. If you have not heard back in two weeks, write and ask whether it arrived.

Full record, as published