Provides a limited amount of financial assistance to help patients with significant financial need and who are under a doctor's care for a confirmed blood cancer diagnosis. This program is supported entirely by public contributions and patient aid funds are subject to availability. Patient Financial Aid Program provides $100 a year to help patients offset expenses. Receipts for expenses are not required. To apply, you must be a US resident or US military personnel stationed abroad and in active treatment or ongoing medical follow-up care for a blood cancer. Your prescribing healthcare provider must complete and sign the bottom portion of the application form.