Patient Aid Application – Frequently Asked Questions
The application is available online at HERE.Please contact the Leukemia Texas office at 214-265-7393 with any questions.
If your application is accepted, you will receive notice from Leukemia Texas within 6 to 8 weeks of the application deadline listed at the top of the application in red. Please do not call to check the status of your application during the 6 to 8-week process.
The Leukemia Texas Patient Aid program is reserved for persons diagnosed with leukemia (ALL, AML, CLL, CML).
If your application is accepted, you may receive a grant up to $1,000 in patient aid to assist with treatment costs and access to care.
All Patient Aid Applications must be submitted through the Online Portal. Leukemia Texas no longer accepts applications by mail, email, or fax.
It is very important that the doctor, physician assistant, or nurse practitioner attest to the leukemia diagnosis and need for assistance through the Leukemia Texas Patient Aid program. In addition to your doctor’s signature, an additional member of the medical staff (i.e. Social Worker, Financial Advisor, Practice Manager) must sign the application. This requirement is to ensure that the applicant is in need of financial assistance due to the expenses incurred from having leukemia.
This request is optional so it is not required to complete the application. However, the reason we ask for you include a photo is so that in the event that you are selected to receive aid, we are able to put a face to the person who is benefiting from the Leukemia Texas Patient Aid. If you wish to share your photo with us, please email it to [email protected]
Please review our 2019-2020 Eligibility Criteria HERE.
Please feel free to contact our office at 214-265-7393 or email us at [email protected].