Patient Aid Application

Grants are restricted to patients who are citizens of the United States, legal residents of the state of Texas, and currently under the care of a licensed physician for the treatment of leukemia. 

  • There will be no exceptions for late or incomplete applications. 
  • Please read the directions carefully and complete all areas of the patient aid application. 
  • Written notification of the STATUS of your application will be sent within 3 weeks of the quarterly deadline.