Request Services

If you are a family interested in services, please ask your social worker to make a referral on your behalf. 

Riprap will work with pediatric oncology clinics in various hospitals to ensure that both the organization and individual Friends have access to the latest social therapeutic research and methods, and that industry best practices are upheld.

Riprap will accept referrals from patients’ care providers and social workers. Upon referral, a patient’s family will undergo a brief application process with Riprap. Once approved, the patient will receive up to two Friend home visits per week for a period of 8-12 weeks, during which time the patient and Friend will explore the Activity of the patient’s choice. A parent, guardian, or caretaker must be present during these visits.

After the initial 8-12 week period, the relationship may be renewed at the discretion of Riprap and the family. Renewal of services may be contingent upon patient need (i.e., whether the patient is still deemed to be too immune-compromised for regular social interaction), Riprap’s capacity, recommendation of the patient’s medical care giver and/or social workers, and other factors.

Families will be admitted to the program on a first-come, first-served basis. To ensure that all participating families receive the best possible experience, engagement with Riprap will effectively be closed when operating at maximum capacity.  However, Riprap will continue to accept and review applications during the “closed” periods, and families who apply during those periods will be placed on a wait list ensuring that they receive services as soon as resources become available.

Request Services Form

(* Required fields)

Child Name *
Parent/Primary Contact Name *
Address
Contact Phone *
Contact Email *
Child Date of Birth *
Grade in School
Diagnosis *
Primary Language spoken at home
Child's favorite Activity
Does your child have understanding of diagnosis
YesNo
Hospital Name
Social Worker’s Name
Social Worker’s Contact Information
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