Patient Assistance Fund Template: Help Cover Costs Insurance Does Not

A diagnosis can bring bills that insurance never fully covers: copays, specialty drugs, travel to treatment, and weeks of lost wages. Patient assistance funds exist so neighbors can help without shame, and hospitals or foundations can move fast when a case worker identifies urgent need.

This patient assistance fund template gives your health nonprofit or hospital foundation a compassionate, story-driven donation page with gift tiers tied to real out-of-pocket costs donors understand. Share the link in newsletters, social posts, and employee giving campaigns. Every gift is tracked in DonorBooks so patient navigators and finance teams allocate support with clear records.

Use this template free, set your goal to match your annual assistance budget or a focused disease fund, and customize eligibility, approval workflow, and privacy standards in your story. Most organizations publish in under five minutes, with no donor tipping and a donor CRM built in for thank-you notes that respect patient dignity.