HEADstrong Foundation

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Comfort Kit Requests

Please fill out the form to request a comfort kit be sent out. Our comfort kits are sent out on a weekly basis and include items we have found helpful for those going through cancer treatment. Because of the large number of requests, we are only able to offer 1 kit per patient.

We Are Sorry But You Do not Qualify

Since you have already received a kit from us, you do not qualify for another kit. We wish you the best as you continue on your fight.
Ex. Chemo, Radiation, Transplant, CAR-T Therapy

We Are Sorry But You Do not Qualify

Since you are not receiving active treatments, you do not qualify for a kit. We wish you the best as you continue on your fight.

Contact Information


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Treating Physician Information



Electronic Certification

The undersigned certifies to HF that he/she/they meets the eligibility requirements of the Fighter/Relief Program, as described in this Application, and that all the information provide in or with this Application is true and correct.