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:

  • Extremity tumor
  • Extremity trauma
  • Extremity infection
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Patient Assistance Program Policies & Procedures

Use this application if the patient is applying for assistance for the first time

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Patient Assistance Application

Use this application if the patient is applying for assistance for the first time

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Patient Assistance Additional Application

Use this additional application if you have previously submitted a full assistance application within a 12 month period

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Hoja de presentación de la solicitud del Fondo de Asistencia al Paciente

Utilice esta aplicación para solicitar ayuda financiera

Frequently Asked Questions

All applications are due the Monday before the committee meeting. Our Patient Assistance Committee typically reviews applications on the third Thursday of each month (This can change per the discretion of the committee).

Applicants are notified about the status of their application within two days of the committee’s review.

Financial assistance is disbursed on the fourth week of the month.

Patient Testimonial

“In an extremely uncertain time in my life, LPF has given me so much relief. They have relieved the burden of making rent, so I can focus more of my energy on what’s actually important, like healing my body.”
Marty Adams
Pictured on the left