In 2019, Helping Hands assisted 200+ households with urgent household bills through our Emergency Assistance program.

Helping Hands Referral Form

HFA鈥檚 Helping Hands Emergency Assistance is designed to establish a rapid, non-invasive source of relief for emergency situations or urgent needs to persons who are affected by diagnosed bleeding disorders. Each year, Helping Hands aids hundreds of families in crisis situations with emergency/urgent funding for basic living expenses such as housing, transportation, and utility bills. Please read this page carefully before proceeding.*

If the household financial need is primarily due to COVID-19, please refer the applicant to the HFA COVID-19 Relief Fund program instead of Emergency Assistance. The Emergency Assistance program is for urgent hardship that is not directly caused by COVID-19 an is directly resulting from or impacting the bleeding disorder.

Eligibility Requirements:

  • Applicant is an individual with a diagnosed bleeding disorder and/or lives in the same home of the person with a diagnosed bleeding disorder.
  • The applicant must not have applied within the last 365 days.
  • The applicant is currently experiencing or has recently experienced hardship directly resulting from or directly impacting the bleeding disorder.
  • The request is related to housing, utilities, transportation.
  • We do not accept self-referrals for Emergency Assistance. The referral must be submitted聽by an Eligible Referrer:
    • Physician, nurse, or social worker from a Hemophilia Treatment Center
    • Private physician
    • Representative from a national, regional, state, or local bleeding disorder organization
    • Homecare representative of the applicant
    • Not a relative or employer of the applicant

NOTE: Helping Hands cannot cover any legal expenses or聽medical expenses including medical bills, dental bills, health insurance premiums, co-payments, deductibles, medications, factor, testing etc. Please visit HFA’s Patient Assistance Portal to find other financial resources.

"Helping Hands changed my life."
Steps to Apply:

  1. The applicant cannot submit their own referral for Emergency Assistance. Referrals must be submitted by an eligible referrer (see list above) via this website** and include the following:
    • Applicant鈥檚 contact information
    • Household members鈥 names and relationships
    • Bleeding disorder diagnosis
    • Healthcare location
    • Category of need: housing, utilities, or transportation.
    • Description of need. Please include聽bill due date if urgent.
  2. Helping Hands staff receive referral and contact applicant for a phone interview, usually within 5 days. The applicant is asked a standard set of questions about monthly household income, expenses, and the situation causing the current need.
  3. The Helping Hands staff member submits the application to the Helping Hands Committee. All funding decisions are made by the committee after carefully reviewing the entire situation of the applicant and determining if assistance from Helping Hands will be able to effectively help the applicant in need. Applications are submitted to the committee anonymously.聽The applicant鈥檚 identity is not shared with the committee members.
  4. If approved, the applicant is required to provide a copy of the bill/lease. Payment is made directly to the landlord/company. All applicants receive information about additional financial and educational resources.
  5. The process is usually completed within two weeks.

Helping Hands Referral Form

*Please contact HFA at 202-675-6984 or with any questions.
**A referral indicates permission to contact both the applicant and the referrer. We will be in touch with the referrer or a local professional about any safety issues raised in our phone interview.

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