The focus of our transportation assistance is to enable patients to get to and from dialysis or pre-/post-transplant medical appointments. Assistance is limited to 26 rides per month for regularly scheduled transportation.
Patients whose insurance provides non-emergency transportation are not eligible.
Eligibility (In addition to the General Eligibility Requirements above):
-
Patients are eligible when their regular mode of transportation is not available; there are no family, friends or neighbors who can transport them; and they cannot afford to pay for tickets, vouchers, or fares.
Forms:
-
To start a new Transportation Assistance application use
https://www.GrantRequest.com/SID_6273?SA=SNA&FID=35007 - To access a saved or previously submitted application use https://www.GrantRequest.com/SID_6273?SA=AM
-
Financial Statement (if not already completed within the last six months for other assistance requests, or if there are changes to income)
Renewal:
-
To start a renewal Transportation Assistance application use
https://www.GrantRequest.com/SID_6273?SA=SNA&FID=35007 - To access a saved or previously submitted renewal application use https://www.GrantRequest.com/SID_6273?SA=AM
-
Patients are approved for three months at a time.
-
Financial Statement (every 6 months, or if there are changes to income)