Referring a child and a family for support from our foundation is a very important part of helping us carry out our mission. We help medically eligible children, and we consider referrals from medical professionals, social workers and parent/legal guardian.
To contact us for consideration, you may write to:
The Francesco Loccisano Memorial Foundation
P.O. Box 237
Brooklyn, NY 11228
Please download the Consent for release form and our application form. Include these forms in your mailing:
Application
Please include the child's name, age, diagnosis, and hospital that is providing medical treatment. We also require a correspondence with a letterhead from the oncologist treating the child. Please include your contact number. Our referral committee will contact you in a timely manner to discuss further criteria for eligibility.
To fax the paperwork, please call our organization number at 917-496-7534 for further instruction.