Make a Referral

Referrals are made either by a parent whose child has cancer, directly from the siblings or by someone involved in the family's medical or social-emotional care. For example, siblings may be referred by a doctor, nurse, social worker, child life specialist, teacher, school counselor, religious leader or therapist.

Referral Form

In Illinois, call 1-847-705-SIBS (7427)
Toll free, call 1-866-444-SIBS

Or click here (English or Espanol) to download a pdf referral form to email or fax to SuperSibs! Please be patient as it may take a minute or so to download and open. You will need Acrobat Reader to view the form, which is a free download from Adobe.

 

Referral Form (pdf)
Referral Process Info.
Referral FAQs


4300 Lincoln Ave, Suite I, Rolling Meadows, IL 60008
Illinois: 847-705-SIBS(7427)      Toll Free: 866-444-SIBS(7427)      Fax:847-776-7084


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