Unable to verify income or diagnosis – grant closed

Eligibility for TotalAssist financial assistance is based on verification of a qualified diagnosis and demonstrated financial need. If we are unable to verify diagnosis and/or financial need within 30 days of your approval date, your grant will be forfeit and closed.

If we could not verify your income eligibility

If you still need assistance and can provide proof of your household income, please call us at (866) 512-3861 to complete a new application or apply online at TotalAssist.org.

You may reapply for funding if:

• Funding is available
• You meet all program requirements

If we could not verify your diagnosis

If you still need assistance, please send us your completed Diagnosis Verification Form. Read how to complete diagnosis verification.

We can restore your grant if:

• Funding is available
• You meet all program requirements
• We receive the completed diagnosis verification form from you or your healthcare team.

How to send your completed form:

Online:
Submit through your portal account

Fax:
757-952-0119

Mail:
TotalAssist, 421 Butler Farm Rd, Hampton, VA 23666

Contact us if you have questions or need help with verification

Chat live on our website, or call us at 866-512-3861, Monday – Friday, 8:30 – 5:30pm ET.

Other resources for patients beyond TotalAssist

Patient Advocate Foundation knows that patients may need support, information, and resources beyond TotalAssist. This can include services like case management, help with living expenses, and much more. Search our National Financial Resources Directory, find community specific resources, and explore our patient education library. Search our resources today.