Breast Connect Heart-to-Heart Care Package — logo tote bag filled with comfort items, handmade knit cap, lotion, journal, and pen

Request a Care Package

From our hearts to yours.

Complete the Form Below

Our care packages are specially designed by sister survivors for patients undergoing chemotherapy or radiation treatment. They contain comfort items like a healing pillow, warm socks, lotion, tea, and more — all at no cost to you.

    First Name *

    Last Name *

    Email *

    Phone *

    Date of Birth *

    Race / Ethnicity *

    Shipping Address

    Street Address *

    City *

    ZIP Code *

    State *

    Treatment Information

    Treatment Type *

    Treatment Start Date *

    Hospital / Facility *

    Oncologist or Surgeon — Name and Phone *

    How did you hear about Breast Connect?

    Disclaimer

    By requesting a care package or flowers through Breast Connect, you hereby release and agree to indemnify and hold harmless Breast Connect, Inc. and its members, officers, directors, employees, and agents from and against any and all claims, liabilities, and damages arising from the products you receive or out of the sharing or storage of any information you provide to us and from the interactions with persons with whom you connect through Breast Connect, Inc.

    Breast Connect, Inc. has not been established to sell healthcare products, drive opinions, or be a persuasive source. By submitting a request to receive a Breast Connect Heart-to-Heart Care Package, you are authorizing Breast Connect, Inc. to store your information in a database. Your information will not be shared outside of Breast Connect without your written consent.

    Breast Connect has been a lifeline through my most difficult storm. The care package and flowers I received were wonderful, but the best is all the love and support of my pink sisters.
    Carin G.

    Questions? Contact us at contact@breastconnect.org or call (865) 409-0410