Client Assistance Program Application

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Eligibility:

To be eligible for financial assistance, a patient should fill out an application form and certify all information is true and correct to the best of their knowledge.

EAL is primarily able to assist with transportation. Other assistance will be provide when possible.

We also have other partners who may be able to fulfill different requests. Please call the office at 225-298-5499 and speak to a client resource manager.

Request fulfillment:

Financial requests will be fulfilled by payment to the authorized entity whenever possible. 

Amounts may be granted in partial fulfillment of the amount requested. 

Disclaimer: 

EAL does not guarantee any medical or other outcome related to application requests and fulfillment of a request does not necessarily represent endorsement by or an official position of Epilepsy Alliance Louisiana. Advice regarding specific treatment or care of a patient should be obtained through consultation with a qualified medical professional.

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