Financial Assistance Agreement & HIPAA Media Release

Mission & Stewardship The Jackson Copeland Foundation (JCF) is a 501(c)(3) nonprofit dedicated to improving outcomes and accelerating cures for high-risk leukemia while eliminating financial and logistical barriers to care. These grant funds are provided through the generosity of our donors to support patients and families during active treatment, and our stewardship of these funds is of the utmost importance.

As such, we ask all financial assistance recipients to acknowledge the following guidelines for acceptable use of these funds, and to help us raise awareness for our cause by providing an optional HIPAA Media Release. Please review and complete the following: