ATTENTION: HealthWell Foundation headquarters and hotline will be closing on Friday, April 19, 2019 at 3:00 p.m. in observance of the holiday weekend. Our office and hotline will re-open on Monday, April 22, 2019 at 9:00 a.m. We encourage you to continue to use our Patient, Pharmacy and Provider Portals during this time.  Please note: if you are contacting us about a payment or grant, it is faster to email us at grants@healthwellfoundation.org.  The HealthWell Team wishes you and yours a happy, safe and healthy holiday.

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Request for a New Disease Fund

Thank you for sharing your feedback on what disease areas you would like to see us cover. We value your input as we continue to expand our programs.

Please submit requests for NEW disease funds only, not funds on our open or closed disease funds lists.

  • If "Other" was selected, please add the disease(s) below:
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