Patient Assistance Program

Since its inception, The Limb Preservation Foundation has provided financial assistance for living expenses to people facing financial challenges while undergoing treatment for a limb-threatening condition.  We believe patients with limb-threatening conditions need to focus on healing, not on whether or not the heat will remain on or if a loved one can be by their side during treatment.

If you are experiencing difficulty meeting your monthly expenses because of the costs of treatment, we are here to help.

Our Patient Assistance Program is sponsored by Donor Alliance

GRANT INFORMATION

Patient Assistance Program

This program provides financial assistance to patients in the nine-state Rocky Mountain Region* who are in active treatment for an extremity tumor, trauma, or infection.

Some examples of help provided by the Patient Assistance Program:

  • Rent
  • Utilities
  • Mileage related to medical visits
  • Hotel expense related to medical visits
  • Health insurance expenses

*Rocky Mountain Region – Arizona, Colorado, Idaho, Kansas, Montana, Nebraska, New Mexico, Utah, and Wyoming

GRANT GUIDELINES

Patient’s Eligibility

A patient’s eligibility to receive a grant is based on 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.

A patient must be in active treatment for a limb-threatening condition related to one of the following:

  • Extremity tumor
  • Extremity trauma
  • Extremity infection

Our Patient Assistance Committee reviews applications on the 3rd week of each month to determine eligibility and funding priorities. Applicants will receive communication about the status of their application within 2 days of the committee’s review. Approved financial assistance will be disbursed on the 4th week of the month.

GRANT APPLICATION

If you wish to print out an application and fill it out by hand, download our Patient Assistance Application

Instructions for the fillable forms:

  1. Download the fillable form and save it.
  2. Open the form. The health professional and patient need to coordinate in filling out and signing the form.
  3. Save the completed form.
  4. Attach digital copies of letters or statements for rent or utilities as needed.
  5. The patient navigator or social worker will email it to LPF

Patient Assistance Application in fillable PDF format 

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

Patient Assistance Additional Application in fillable PDF format

Use this additional application if you have previously applied for assistance.

The injuries Kelly experienced after a fall from a rooftop onto concrete required five surgeries and a bone graft to put Kelly’s leg back together. Kelly’s treatment and recovery put his handyman business, which was his family’s sole income, at risk. Kelly and his wife, Karla, sold one of their vehicles, his work trailer and his tools to get by during the first few months of his recovery, and Karla went back to work to bring in needed income. However, the mortgage, utility and insurance bills still piled up. Kelly heard about The Limb Preservation Foundation through his physician’s office and applied for assistance with their mortgage and other living expenses.  The Foundation assisted with the family’s mortgage and utility bills.

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