Support for Families Fighting Cancer

A new diagnosis brings more questions than answers, and CURE Childhood Cancer is here to help. From the moment you connect with us, our goal is simple: to ease the emotional, physical, and financial weight that comes with caring for a child facing cancer, LCH, HLH, brain tumor, or aplastic anemia. You are not alone.

CURE offers a wide range of support designed to meet your family where you are: meals in the hospital and outpatient clinic through our Open Arms program, emergency financial assistance for households under strain due to this diagnosis, professional counseling for patients and their families, and practical tools like coping resources and packing checklists to help you navigate hospital stays. As your family moves from diagnosis through treatment and into survivorship, our team remains a steady source of guidance and care.

Getting started is easy. Simply fill out our Family Information Form below, and a member of our staff will reach out to introduce your family to CURE’s programs and connect you with the resources that fit your needs.

Family Resources

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Open Arms Meal Program

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Emergency Financial Assistance

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Counseling

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Family Information Form

Has your child has been diagnosed with cancer, LCH, HLH, brain tumor, or aplastic anemia? (Para completar el formulario de información familiar en español, haga clic aquí.)

"*" indicates required fields

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This field is for validation purposes and should be left unchanged.

Select One*

Yes

Your First Name*

Your Last Name*

Patient's First Name*

Patient's Last Name*

Date of Birth*

Age*

Gender*

Patient's Ethnicity*

Asian/Pacific Islander

Black/African American

Hispanic/Latino

Native American

White/Caucasian

Other

Diagnosis Type*

Date of Diagnosis*

Treatment Status*

On treatment

Off treatment

Relapsed/Progression

Date of relapse/progression

Parent/Guardian First Name*

Parent/Guardian Last Name*

Relation to Patient*

Cell Phone*

Email Address*

Street Address*

City*

State*

Zip Code*

Would you like to add contact information for child's other parent/guardian?

Yes

Parent/Guardian Name

Relation to Patient

Cell Phone

Email Address

Address (leave blank if same as parent 1)

Street Address City State / Province / Region ZIP / Postal Code

Siblings of Patient

Name

M/F

Birthdate

Is your child currently receiving treatment?*

Yes

Has your child completed treatment?

Yes

Date completed treatment

Has your child had their first Survivorship Clinic appointment?

Yes

When is your child expected to begin treatment?

Treating Hospital*

Children's Healthcare of Atlanta

Dwaine & Cynthia Willett Children's Hospital Of Savannah

Nemours Children's Specialty Care

Atrium Health Navicent Beverly Knight Olson Children's Hospital in Macon

Wellstar Children's Hospital in Augusta

Children's Hospital at Erlanger in Chattanooga

Other

Did you receive a CURE Tote?

Yes

No (Please request one from your social worker)

Social Media or Caring Bridge

We'd like to follow your child's journey

Please let us know how you learned about this patient information form?*

CURE Tote

Social Worker or other hospital staff member

CURE Staff Member

CURE Website

CURE QR Code

Other

Thank you for visiting CURE Childhood Cancer's website. While our direct patient support services are specifically for families facing one of the diagnoses listed above, everyone can play a vital role in our mission.

CURE is dedicated to funding innovative research that leads to better treatments and ultimately cures for childhood cancers. In the past decade, we've invested over $45 million in groundbreaking research initiatives that are creating real progress in the fight against childhood cancer.

We invite you to join our community by following us on social media, subscribing to our newsletter, or exploring volunteer and donation opportunities. Together, we can create a world where all children have the chance to grow up cancer-free!