Please provide as much information as possible about the cancer patient on the form below. In addition, providing the name of a contact person who is able to provide updates about the patient's progress is helpful. Once the name has been submitted, the individual will be placed into the FSM ministry. His or her name will then be given to an encouragement leader who begins to pray and send cards. The care package, which includes the monogrammed blanket, will be sent within four to six weeks of receipt of this form.