Sophia Support Financial Assistance Application
This form must be completed by an authorized social worker through your hospital's care team. If you are a parent or guardian, please forward this form to your hospital's social work or patient advocacy team.

Sophia's Fund provides Sophia Support Financial Assistance to families who have a child with cancer. In order to help reach as many families as possible, Sophia Support is limited to one $500 grant per calendar year per family. All requests for Sophia Support must be submitted through this form via a social worker, pediatric resource specialist, child life specialist, patient advocate, or other related healthcare professional. 

Patient Eligibility Requirements:
  • Must be 22 years of age or younger 
  • Must have a diagnosis of cancer or brain tumor confirmed by an oncology healthcare professional 
  • Must be receiving treatment at a New England Hospital or lives in New England 
  • Must be receiving treatment (in-patient or out-patient) for their diagnosis
Financial Assistance Requirements: 
  • Healthcare professional confirms that the family meets 350% of the Federal Poverty Guidelines (see chart below)
  • Can be used for any financial need. Rent, utilities, medical bills, travel expenses, birthday/holiday presents - nothing is off limits!

Submission of a Sophia Support Assistance application does not guarantee a grant for financial assistance. Applications will be reviewed and responded to within 7-14 days. Sophia's Fund does not discriminate based on gender, race, ethnicity, nationality, gender identity or sexual orientation. Patient demographic data is collected solely for reporting purposes and will not be tied to the identities of recipients.  

Questions? Email kimberly@sophiasfund.org
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Financial Eligibility Requirements - Families must have an annual income of 350% the US Federal Poverty Guideline or below. 
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