Request a CARE Kit

Our Community Cares!

Through the generosity of individuals and corporations, Cancer CAREpoint receives item and monetary donations that enable us to provide CARE Kits – kits that address a variety of needs related to cancer treatment, survivorship, and caring for someone impacted by cancer — AT NO COST to the recipient. The kits include items that may be needed when going to appointments (such as hand sanitizer, tissues, notebook and pens) as well as comfort and support items (such as hats and port pillows made and donated by members of the community).

Cancer CAREpoint offers two types of CARE Kits:

Patient/Survivor CARE Kit
Caregiver CARE Kit

To receive a CARE Kit please fill out the form below. By completing the form you give us permission to mail a personalized CARE Kit to you. Please note that in order to respect your privacy, the return address on the kit will not show Cancer CAREpoint, but instead will simply show the sender as “CCP Community Care”.

Please note: Cancer CAREpoint is a community-based organization, and we can only mail our CARE Kits within California’s San Francisco Bay Area.

If you would like help locating resources in your area we are happy to help, please email us at .

CARE Kit Order Form

First Name

Last Name

Address 1

Address 2

City (San Francisco Bay Area, California Only)

Zip Code (SF Bay Area Only)

Email Address

Home Phone

Cell Phone

Best way to contact you if there are any questions: Best way to contact you if there are any questions: Please call me, it is okay to leave a voicemail Please email me

How did you hear about us?

What type of CARE Kit would you like delivered? What type of CARE Kit would you like delivered? Patient/Survivor CARE Kit Caregiver CARE Kit

Each kit will contain a variety of items. Some additional items may be selected to be added to the kits. If you are in treatment, please select any of the following that you would like to add to your kit: Each kit will contain a variety of items. Some additional items may be selected to be added to the kits. If you are in treatment, please select any of the following that you would like to add to your kit: Soft sleep cap Knit hat Port pillows

Please indicate up to 3 preferred colors:

The following items can also be added to the Caregiver CARE Kit and the Patient/Survivor CARE Kit. Please select any of the following that you would like to add to your kit: The following items can also be added to the Caregiver CARE Kit and the Patient/Survivor CARE Kit. Please select any of the following that you would like to add to your kit: Cookbook Practical tips and advice for caring for a loved one with cancer, including examples of questions to ask during appointments and some examples of how to track treatment information, appointments, and medications

Call our
Community Helpline:
408.402.6611

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