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 database 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.
If you have any questions, please contact Member Services at (602) 955-3947.