Transportation Assistance Form

TRANSPORTATION ASSISTANCE POLICY:

Clients with access to a vehicle:

  • If a client has access to a personal vehicle to make primary Sickle Cell Disease (SCD) medical, dental, or mental health appointments, a gas card* will be issued as reimbursement to supplement gas expenses. In order to receive a gas card, the client must provide evidence prior to receiving a gas card confirming that he/she has an appointment scheduled.
*Only TWO Gas card will be issued per vehicle
Click or drag a file to this area to upload.