Financial Assistance

This past year, SCDA created a new program designed to help survivors of Sickle Cell. A financial assistance program has been implemented in the agency to assist clients with the costs of prescriptions, medical services, rental fees, utilities and other needs.

In order to assist clients financially, clients with Sickle Cell Disease or the trait can apply up to $250.00 per calendar year for financial assistance. The program will provide assistance to those living with Sickle Cell who often are burned by the costs of medical care. If you are someone you know is interested in applying for the program, please review the following information:

Eligibility Requirements:

          Client must have Sickle Cell Disease or Sickle Cell Trait

          Client must submit copy of Hemoglobin results along with completed application materials to SCDA Office.

          Client must submit proof of financial need by showing copy of expense for which assistance is required (electric bill, prescription, lease).

          Client must submit merchantís information confirming final cost (the person whom check will be made out to)- Contact person, merchantís address and phone number.

 

Process to Receive Financial Assistance

 

          Client will call SCDA office and request application for financial assistance

          SCDA employee will send copy of application materials

          Client is to return application form, copy of hemoglobin record, and proof of financial expense to SCDA Office.

          Client will be notified when information is received and information will be given to Board President and Executive Director for review.

          Client will be notified in 7-8 business days of decision.

 

 

For more information on the financial assistance program or to request a financial assistance packet, please contact Kathleen Hicks at the SCDA Office, 817-882-0990

 

Or You can simply download it, and mail it to

SCDA Tarrant

1350 S. Main, Ste 3600

Fort Worth, TX 76104 

Application for Financial Assistance

 

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