Patient Assistance Program
Financial Support
We provide a lifeline of hope for those facing limb-threatening conditions. Our Financial Support Program offers financial assistance to patients in the nine-state Rocky Mountain Region who are in active treatment for limb-threatening extremity trauma, tumor, or infection. This assistance aims to ease the financial burden during challenging times.
Examples of help provided by the Patient Assistance Program:
Rent + Mortgage
Receive rent or mortgage payments.
Utilities
We will work with you to help pay your utilities bill.
Health Insurance
Assistance with health insurance payments.
Hotel Expenses
Treatment accommodations available.
Grant Guidelines
A patient’s eligibility to receive a grant is based on their financial need as well as the medical and personal situation. All applications must be accompanied by a letter or written statement from a medical professional (social worker, case manager, physician, etc.) verifying a patient’s diagnosis and financial situation. Applications must be submitted by the medical professional. We will not accept applications submitted by the patient.
A patient must be in active treatment for a limb-threatening condition related to one of the following and live in the Rocky Mountain Region – Arizona, Colorado, Idaho, Kansas, Montana, Nebraska, New Mexico, Utah, and Wyoming:
Use this application if the patient is applying for assistance for the first time
Use this application if the patient is applying for assistance for the first time
Use this additional application if you have previously submitted a full assistance application within a 12 month period
Utilice esta aplicación para solicitar ayuda financiera
Frequently Asked Questions
