Help for your child with cancer CT

Founded by parents who have faced the same journey, we understand the fear and isolation that come with a child's cancer diagnosis. We're here to stand by you throughout your child's cancer experience, offering support when and where you need it most. Our programs are available for you whenever you're ready.

Our Programs Team

Please register with us using the form below to get started. Our team will use the contact information you provide to follow up with you and help you through our assistance application.

You are eligible for our support if:
- You live in Connecticut OR are treated in Connecticut
- OR you are treated at Maria Fareri Children's Hospital OR Baystate Children's Hospital
- AND the patient is under the age of 26

Patient Information

Patient Name

First Name *

Last Name *

Patient Diagnosis

Birth Date

Month

Day

Year

Gender

Male
Female
Non-Binary

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Treatment Center

Baystate Children's Hospital
Connecticut Children’s Medical Center
Maria Fareri Children's Hospital
Yale New Haven Children's Hospital
Other

If "Other" please provide Treatment Center's name

Parent Information

Name

First Name *

Last Name *

Address

Country

Address Line 1 *

City *

State/Province *

Postal Code *

Phone Type

Phone

How can we help you?

Registration

Register With Us

Our team is here to help you

Patient Information

Parent Information

Contact Us