Get ready to apply
We Care Foundation
Emergency assistance
What you get
Emergency financial help separate from gas cards and nutrition aid. The amount and covered expenses aren't published. Ask. Open now.
- Who starts it
- You, with a document from your doctor
- How it’s sent
- Email to tasha@wecarefoundationfs.org
- Your time
- An hour or so, plus waiting for the document
- Last checked
- Aug 27, 2026
Before you start, check you fit
- Ask which expenses can be considered before relying on this help.
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Ask your doctor for the documentStart here. This is the part that takes the longest.
We Care Foundation 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 We Care Foundation’s Emergency assistance. Emergency financial help separate from gas cards and nutrition aid. They are taking applications now. They need a signed confirmation of the diagnosis from you. Their form and instructions are here: https://wecarefoundationfs.org/about-us 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. -
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
Child Enrollment Form and guardian consentFull NameDate of BirthAgeGenderEthnicityAddressCityStateZipInsurance: YES NOProvider NameSchool AttendedGradeGuardians Full NameRelationship to childPhoneEmailAddress (if different from child)Emergency Contact NameEmergency Contact AddressEmergency Contact Relationship to ChildEmergency Contact PhoneList all names and age of residents in the home and relationship to childPrimary PhysicianPrimary Physician PhoneHematologist/OncologistDiagnosisDiagnosis DateHospitalGuardian Consent - legal guardian nameGuardian Consent - child nameGuardian SignatureGuardian Signature DateStaff SignatureStaff Signature DateNotesTreatment Verification Form · your care team fills this inPatient Information - NamePatient Information - Date of BirthPatient Information - PhoneHematologist/Oncologist Information - NameName of HospitalHematologist/Oncologist PhoneFaxAddressName of DiagnosisDiagnosis DateStart date of TreatmentCompletion DateTreatment typeFrequencyDoctor/Staff SignatureDateWe Care Staff SignatureWe Care Staff Signature DateShow the rest of the form (1 more section)
Media Release FormParticipant NameParent/Guardian Name (if under 18)Phone NumberEmail AddressOneSignature of Participant (or Parent/Guardian if under 18)DatePrinted NameHave ready
- We Care Child Enrollment Form and guardian consent (pages 1-2).
- Media Release Form with a required selection that permits the family to decline media use (page 4).
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Email your application and the document togetherTo tasha@wecarefoundationfs.org.
- Email the completed enrollment packet to tasha@wecarefoundationfs.org.
Email: tasha@wecarefoundationfs.org
Subject: Emergency 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
We Care says it will contact the family after submission; no response interval is published.
