REMINDER: Our hotline team is working remotely and focusing their time on helping our patients.  We kindly ask pharmacies, providers, and their staff to use our Pharmacy and Provider Portals. If you have a question that cannot be answered by visiting the portal, please send an email to grants@healthwellfoundation.org. We appreciate your continued patience and look forward to continuing to serve you. Wishing you all safety and good health during this difficult time. The HealthWell Team

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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:
  • This field is for validation purposes and should be left unchanged.