Inhibitor Support

Step 1: Check Eligibility

• Have at least one member in the household with a diagnosed bleeding disorder
• Have at least one member with an active inhibitor: a measurable titer and/or shortened half-life
• Have documentation of medical recommendation stating reason for request, how it will support inhibitor treatment, and confirms diagnosed bleeding disorder and active inhibitor
• Travel arrangements must be made at least 30 days prior to the requested medical visit

Step 2: Obtain Written Documentation

• Must be from a healthcare provider (doctor, nurse, physical therapist, or hospital social worker)
• Confirmed diagnosed bleeding disorder and active inhibitor
• States the reason for the request and how it will support the patient’s inhibitor treatment or education
• Can be in the form of a letter, medical visit notes, or this medical verification form
• Upload document(s) in the referral form or email us.

Step 3: Complete Form

• Complete either the tutoring/educational supplies form or the medical travel reimbursement form
• Upload document in the referral form or email us.

Step 4: Complete the Online Referral Form

• Can be completed by the applicant or a professional representative in the bleeding disorder community
• If the need is time-sensitive, please specify why and when the item is needed

Step 5: HFA Processes the Application

• A Helping Hands staff member will contact the applicant for a phone interview, usually within 30 days of receiving the application. The interview takes about 10 minutes and reviews applicant’s monthly household income, household information, and next steps.

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.