top of page

Patricia Costa Patient Assistance Program

The Human Growth Foundation’s (HGF) Patricia Costa Patient Assistance (PCPA) Program helps HGF members worldwide living with rare growth, bone, and endocrine conditions get access to care and treatment.

The Human Growth Foundation’s (HGF) Patricia Costa Patient Assistance (PCPA) Program helps HGF members worldwide living with rare growth, bone, and endocrine conditions. Through the PCPA Program, HGF is committed to helping its members access the care and treatment they need.

 

This Program Assists with:

1.    Insurance co-pays.
3.    Diagnostic testing.
4.    Travel for clinical trials or consultation with specialists.

5.    Means for a better quality of life (ex: school books, etc.) 

To Qualify:

  1. You must be a current HGF member.

  2. You must complete the PCPA Program application. 

  3. You must submit a copy of your W-2 or proof of income.

  4. You must submit a Need Letter that describes your request.

  5. You must submit a Doctor's Letter indicating the condition.

How to Apply:


Complete the PCPA Program application form and submit the required documents, including:

  1. There is no guarantee that you will receive funding by applying.

  2. Grant distribution is based on available funds.

  3. Applications must be submitted by September 5th.

  4. Applicants are notified by November 1st.

  5. Applications may receive funding once in three years.  

Please note: 
A Need Letter is required and can be used to support the need for funding.

2024 APPLICATION OPENS
JUNE 10,2024

PCPA Application Form
Upload Your Need Letter (PDF format)
Upload Your W2 or Proof of Income

Thank you! We’ll be in touch.

This form no longer accepts submissions for 2023.

PCPA Application
bottom of page