Methods and systems are provided for promoting and managing communications among a social support network. According to one embodiment, a communication system includes a closed communication service platform and a hardcopy-based communication appliance. The communication service platform provides a caregroup virtual private network (VPN) through which only registered members of the caregroup, authorized personnel of the communication service platform, processes associated with the communication service platform, and a target of the caregroup are permitted to exchange communications. The hardcopy-based communication appliance is associated with the caregroup VPN and used by the target and is operable to be communicatively coupled to the communication service platform to print inbound communications received from registered members of the caregroup, and to upload to the communication service platform outbound digital representations of annotated pages defining communications to be delivered to one or more members of the caregroup.