Laura Allen

Executive Director

We Welcome You to Refer A Child

We are glad you are here and found your way to our referral form. Whether you are a parent, physician, social worker, family friend, or other, you are in the right place to support a child in the Carolinas battling cancer.

We invite you to fill out the form below so we can make sure we can best meet your needs as quickly as possible. One of our Family Advocates will be in touch with you within 24-48 business hours.

CCP Referral Form

PLEASE NOTE: This form is ONLY for family members, friends, or a member of the community to fill out, and we will need a referral from the child's treatment center as well.

If you're a social worker, please email the CCP Referral Form to Shannon at [email protected] for any referrals or sign in to the SW Portal here.

If you have a child in mind who could benefit from our services, please use the below referral form. One of our Team Members will be in touch within 24-48 business hours.

Have more questions?
Feel free to contact the family program director Shannon Brown at
[email protected].

Frequently Asked Questions

Who can apply for assistance from CCP?

Any parent or caregiver of a child or youth ages birth to 18 who has been diagnosed with cancer is welcome to request our assistance. While pediatric social workers at treatment centers in the Carolinas or bordering states routinely refer families to us at diagnosis, there can be oversights or exceptions, so we are always alert to children in need. Please contact us immediately.

What types of items does CCP help with?

No family budgets for cancer, and the non-medical costs average $10,000 or more over the course of treatment. CCP responds within 24 hours to each new request or hospital referral, first with emotional support and the assurance of our ongoing support to age 21, then practical support with care navigation and financial assistance including:

transportation costs of auto mileage, air or train fares, taxis, parking
lodging at treatment sites or en route
meals-away-from-home
critical home care needs including prescribed special diets
patient peer support like activities, camps
emergency needs involving evictions, utility cancellations etc. that would impair patient care

What hospitals do we partner with?

We partner with:

UNC Children's Hospital
Duke Children's Hospital
Atrium Health Levine
MUSC Children's Hospital
Atrium Health Brenner
Prisma Health Upstate
Prisma Health Midlands
ECU Health Medical Center
Mission Children's Hospital
Novant Health Hemby Children's Hospital
Children's Hospital of the Kings Daughters
Dwayne and Cynthia Willett Children's Hospital of Savannah
MUSC Hollings Cancer Center
Duke Cancer Institute,
Children's Hospital of Georgia

Every Carolina pediatric cancer center refers newly diagnosed children to CCP as a "best practice". There are also many national research centers who know CCP and coordinate with us on assistance to Carolina families. Major national research centers including: