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FAMILY ASSISTANCE

You are focused on your child. Let us help with part of the financial burden.

Start with what you know. You do not need to have every document ready today. If your family is facing childhood cancer and needs help with an approved medical or treatment-related bill, submit the application and our team will follow up if we need more information.

This application may take 10-15 minutes. You can start even if you do not have every document ready.

Before you start

  • Parent or guardian contact information
  • Diagnosis and treatment details
  • Household and financial impact context
  • Any optional supporting documents you may be able to provide later

How assistance works

  • Submit the application. Supporting documents are helpful but are not required to begin unless current policy requires them.
  • Applications are reviewed by the board based on eligibility, need, and available funds.
  • If approved, KCF pays the eligible hospital, clinic, pharmacy, or provider directly.
  • A member of the KCF team will contact you if additional information is needed.

Family Assistance FAQ

Who may apply

Eligibility can depend on diagnosis, treatment status, location, available funds, and the specific bill being requested. If you are unsure whether your family qualifies, please start the application or email info@keepclimbingfoundation.org and our team will help guide you.

Geographic limits

Eligibility can depend on diagnosis, treatment status, location, available funds, and the specific bill being requested. If you are unsure whether your family qualifies, please start the application or email info@keepclimbingfoundation.org and our team will help guide you.

Eligible expenses

Approved medical and treatment-related expenses.

Can social workers apply?

A parent, guardian, social worker, care team member, or approved family representative may help submit the application.

Typical review timing

Review timing can vary based on the request, documentation, and available funds. Our team will follow up if we need additional information.

Are urgent requests considered?

If the need is urgent, please note that in your application and include the due date or deadline for the bill. Our team will review the request as quickly as possible.

Does KCF pay applicants directly?

KCF pays approved providers directly where possible.

Before submitting sensitive information, read how KCF uses application data and who may review it in the Privacy Policy. To request access, correction, or deletion, email info@keepclimbingfoundation.org.

Application progress

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Section 1

Parent or Guardian Contact Information

Tell us how to reach you about the application.

Section 2

Child and Treatment Information

Basic information about your child.

Section 3

Diagnosis and Current Care

Help us understand the diagnosis and current care context.

Section 4

Requested Bill or Expense

Tell us about the exact provider bill or treatment-related expense you want KCF to review.

For example: hospital bill, clinic bill, prescription, or another treatment-related provider expense.

Optional if the bill does not show a due date.

Do not enter a Social Security number. Include only the provider reference needed to identify the bill.

Section 5

Insurance and Other Assistance

Insurance and outside-support context helps the board review applications fairly.

Section 6

Household Financial Impact

This section helps the foundation understand where support would make the greatest difference.

This helps the board review financial need. Choose the closest range.

Section 7

Optional Family Context and Story

Share anything else that may help the board understand your family's current situation. This is optional.

Section 8

Story-Sharing Permission

Optional: This does not affect whether your application is approved.

Section 9

Supporting Documentation

Documents are not uploaded on this website. Tell us what you can provide, and the KCF team will explain the follow-up method if documentation is needed.

Optional. Note if documents are available on request or need explanation.

Section 10

Consent & Verification

All consent items are required before the application can be reviewed.

Security Check

We run a background security check before submitting the application.

This form is protected by reCAPTCHA v3 and Google risk analysis.

The information you provide is used only to review your request, communicate with you, and administer approved assistance.

Need help instead? Email info@keepclimbingfoundation.org.