Gifting the needy

Receive help from our sickle cell foundation

Thank you for reaching out to Hafeez Adeyemi Sickle Cell Foundation. As a sickle cell warrior that you are, we are here to support you throughout the journey.

We are committed to spreading awareness about Sickle Cell Disease and providing support to patients.  HASCF endeavours to provide patients with financial support (food, rent and/or utilities) during emergency times of need including hospitalizations.

The below form is for Sickle Cell Patients wanting to register in the HASCF database. This form must be completed before requesting financial assistance.

Hafeez Adeyemi

Founder (HASC Foundation)

Sickle Cell Patient Registry

  • Step 1
  • Step 2
  • Step 3

Contact Info

Title

Full names

Email

Telephone No

Street Address

Town/Suburb

State

country

Personal Information

Date of Birth

Gender

Education

Marriage Status

Employment Status

Assistance Form

Do you have the sickle cell anaemia disease

Select area where assistance is needed

Name of attending hospital

Address of attending hospital

Phone contact of your doctor

Full Name of Care Giver / Next of Kin

Care Giver / Next of Kin Contact NO:

Relationship with Care Giver / Next of Kin

Address of Care Giver / Next of Kin