Request Support

At Cancer Support Services, no one faces their cancer journey alone. Please complete the form below to receive supportive outreach every month for a year ( or longer if needed ). Scroll down to request support.

Please note: Although CSS will send totes or lift up prayer requests for a cancer fighter on behalf of a loved one or friend; CSS does not specifically call, write notes or send emails to someone without their expressed permission. If you have a loved one with cancer who would benefit from supportive outreach, please encourage them to request supportive services by filling out this form or at 706.736.5467. At Cancer Support Services, we respect the privacy of people coping with cancer.