REQUEST A CARE PACK

Care packs are completely free to all recipients. The bags themselves are valued at approximately $200 each. Currently the bag contains roughly 26 items ranging from food for snacks and easy meals, health care products, over the counter medicine to combat nausea and other symptoms created by treatment, a blanket and/or head scarf to keep warm, as well as books, magazines, and other activities to deal with long hours in the treatment clinic. Each item has been carefully chosen and we have specific bags for men, women and children.
Unfortunately at this time we only provide care packages to patients in Ontario and currently going through treatment.

Your Name
Your Cell Phone
Your Home Phone
Your Email Address
Your Address*
Street Address City Postal Code
Is The Person Currently In Treatment?
- Yes
- No
If No, When Is The Approximate Start Date
MM slash DD slash YYYY
Information about the person who will receive the care pack:
Name
Cell Phone
Home Phone
Email Address
Address*
Street Address City ZIP / Postal Code
Your relationship to the care pack recipient
Is the person aware you are contacting us for a care pack for them?
Any additional information (type of cancer)
Receive Updates on WeeBraveHeart
- Yes

Request a Care Pack

Information about the person who will receive the care pack: