Patient Registration

Submit a Request for Support

The Icla da Silva Foundation supports patients with emotional, logistical, and financial assistance during their bone marrow or cord blood transplant.

Our ICLA CARES Critical Fund Program provides financial aid to patients who meet eligibility guidelines. This program helps cover some of the out-of-pocket costs associated with a bone marrow or cord blood transplant that are not covered by medical insurance.

In order to be eligible for assistance, all patients must be in treatment for a bone marrow transplant at a hospital or critical care center based in the United States.

Priority for grants is given to patients who meet eligibility guidelines and demonstrate the greatest financial need. The maximum grant allocation per patient is $1,000.

Please include your information below on the Patient Registration Form. You will receive an email with an application. The application includes forms that must be filled out and signed by both the patient and their medical provider or social worker.

We look forward to working with you to provide critical support.