Proof of Eligibility

Please bring the documents below to your visit.

How do I prove that I am eligible?

1 Proof of age and identification.

Driver’s license, ID, passport or birth certificate.

2 Proof of residence or employment.

One of the following will work: Photo ID with current address, lease, mortgage, utility bill in patient’s name, rent slip, school registration, voter registration, employment letter stating service area, etc.

3 Proof of no insurance.

Your most recent tax return should indicate that you do not currently have health insurance.

4 Proof of income level.

Proof of ALL household income, wages, pension/retirement, social security, social security disability, child support, alimony, unemployment, workers compensation, rental income, etc.

Proof of wages will require at least 2 current consecutive paystubs. Social Security disability proof requires the Notice of Award document.

Check your income on this calculator.