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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.
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 a diagnosed bleeding disorder and/or anybody who lives in the same home of the person affected by a diagnosed bleeding disorder.
- 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 click below for more information.
Patient Assistance Programs
While the ACA’s implementation did many great things to provide access to healthcare coverage for the hemophilia and related bleeding disorders community, affordability still remains an issue for many. NHF’s Public Policy Team is often asked about resources available to assist patients with paying their premiums or out-of-pocket costs. In response to many inquiries, they have developed THIS DOCUMENT detailing patient assistance programs that remain available to members of the bleeding disorders community.