Children's Grief Package Request Form

The Campbell River Hospice Society (CRHS) and our community care about you and your family. We are here to support you. 

During the COVID-19 pandemic, we have found an innovative way to support you without the ability to be by your side.  Thanks to the support of the Campbell River Community Foundation, the Community Foundations of Canada and the Government of Canada, we have received the funding to provide you with this special Children's' Grief Package.

Submitters Information

Parents Information

Childs Information

Are there siblings that require support?

Thanks for submitting!