Transportation Assistance Form

TRANSPORTATION ASSISTANCE POLICY:

  • To be eligible for transportation assistance, the client must have sickle cell disease and be a resident of Crittenden County, Arkansas, Desoto County, Mississippi, and the state of Tennessee.
  • If the client lives outside of the Shelby county area, he/she must contact a member of The Sickle Cell Foundation of Tennessee (SCFT) staff (901.552.4267) at least 72 hours before the scheduled appointment to request transportation. If the client lives within Shelby County he/she must contact a member of the SCFT staff at least 8 hours prior to the scheduled appointment to request transportation.
  • If transportation arrangements are made for the client, but the client finds that he/she will not be able to keep the medical, dental or mental health appointment, the client must contact a SCFT staff person at least 24 hours in advance.
  • If the client does not contact the SCFT staff to cancel transportation arrangements, he/she will be placed on a 30 day transportation suspension; which means, he/she will not be allowed to utilize the free service for 30 days.

Clients with access to a vehicle:

  • If a client has access to a personal vehicle to make primary Sickle Cell Disease (SCD) medical, dental, or mental health appointments, a gas card* will be issued as reimbursement to supplement gas expenses. In order to receive a gas card, the client must provide evidence prior to receiving a gas card confirming that he/she has an appointment scheduled.
*Only TWO Gas card will be issued per vehicle