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Apply for a Room Makeover

Apply for a Dream Room Makeover

Thank you for considering us to help transform your child’s room!
Our program is currently best suited for those:
- Living in Connecticut OR Westchester County, NY
- Ages 4+
- In treatment for at least six months OR have recently completed treatment
- Not planning to move in the next few years

We select applicants through a lottery several times a year. We will still review applications that don’t meet all the above criteria and may complete room makeovers for these applicants on a case-by-case basis.

Our dream room makeovers are done by volunteer teams through our Art From the Heart program. Once your application is accepted, we’ll connect you with a local team that works closely with your family to bring your child’s dream room to life with creativity, paint, fabric, and furniture. Please note that our teams do not handle structural remodeling. 

Your hospital social worker must review and approve your application. If you have any questions, please email us at programs@thecircleofcare.org.

Art From The Heart Application
Month
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Day
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Year
Information About The Patient
Month
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Day
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Year
Country
Address Line 1 *
City *
State/Province *
Postal Code *
Month
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Day
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Year
Is the patient currently in active treatment for cancer?
Is the patient a Connecticut resident?
Patient's Ethnicity
Information About The Family
Primary Parent/Guardian (G1)
What is your relationship to the patient?
Country
Address Line 1 *
Address Line 2
City *
State/Province *
Postal Code *
ext Extension
Release and Statement of Confidentiality

Circle of Care agrees to keep confidential all personal information, records, data, and files provided to it due to the applicant’s request for assistance (the “Confidential Matters”). The undersigned acknowledge and agree that Circle of Care may use all non-identifying demographic information provided in the application for funding, grants, and other similar purposes. Circle of Care agrees not to disclose Confidential Matters without the applicant's written consent.

Applicant acknowledges and agrees that Circle of Care may hereafter contact the child’s physician and/or social worker to verify any or all of the information from the application, including but not limited to the child’s diagnosis. 

Filling in your name above represents your authorized signature and your desire to have your application submitted to Circle of Care for review.

Contact Us

Phone 203.663.6893
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