Special Assistance

Managing a bleeding disorder can cause a financial strain on families.  Families may fall behind financially when a child has to be admitted to the hospital or a serious bleed causes the parent to miss days from work.  The Arizona Hemophilia Association understands this and offers Emergency Financial Assistance to those families in need.  Assistance is available to active community members of the Arizona Hemophilia Association. To be considered active, members must be in our data base and have a family member with an identified inherited bleeding disorder.  Applicants must fill out the “Emergency Special Assistance Request Form” with all required documentation attached. It may be faxed, mailed, or delivered to the AHA.

Assistance is available for rent, mortgage and utilities.  Anything other than the previous mentioned must be approved by the Executive Director.

All requests are subject to approval by the Arizona Hemophilia Association and are contingent on funds being available.  Submission of request does not guarantee payment.

Please click on link below to download the Emergency Special Assistance Form.

Special Assistance Request Form

If you have any questions, please contact Yleana or Millie at (602) 955-3947.



The Lifeline program started in 2008 to provide assistance for patient services provided through the Arizona Hemophilia Association including Annual Insurance Reviews for families, community education, and financial assistance for medical bills, insurance premiums, and emergency assistance. The funds are used primarily for medical bill payments, insurance co-pays, premiums and COBRA payment assistance. The funds available in this program are very limited and will be disbursed based on financial need.

Helping Hands

Hemophilia Federation of America’s (HFA) Helping Hands program is designed to establish a rapid, non-invasive source of relief for emergency situations or urgent needs to persons who are affected by hemophilia or von Willebrand disease. Each year, Helping Hands aids hundreds of families with emergency/urgent funding to assist in crisis situations such as housing, transportation, and utility bills. We can refer you to our Helping Hands if you are eligible in these categories.

  • Individuals with hemophilia or von Willebrand disease and/or anybody who lives in the same home of the person affected by hemophilia.
  • The applicant must not have applied within the last year or 365 days.
  • The applicant is currently experiencing or have recently experienced hardship directly affected by a bleeding disorder related event*.
  • The applicant must have a referral submitted to the Helping Hands Program Coordinator by an Eligible Referrer**. An Eligible Referrer, includes:
    • Physician, nurse, or social worker from a Hemophilia Treatment Center
    • Private physician
    • Representative from a national, regional, state, or local bleeding disorder organization
    • Homecare representative of the applicant

Please contact us at 602-955-3947 if you are interested in this program or click here for more information.