Medical or Dental Care
To receive care, individuals must make an appointment with a patient services volunteer to assess eligibility prior to seeing a doctor. Eligibility interviews are conducted by appointment by calling the Clinic’s main number at (281) 364-7889 during normal business hours. (Monday – Friday 9:00am to 5:00pm)
You must bring identification; proof of income and proof of address to your eligibility interview (see below for further details).
VALID PHOTO IDENTIFICATION
- Texas Driver’s License; or
- Texas Identification card; or
- Passport, Visa, or ID from another country
- ID of parent or legal guardian and
- Birth Certificate of minor child
PROOF OF HOUSEHOLD INCOME
- 60 days of current consecutive paycheck stubs; or
- Current year tax return; or (tax returns are not acceptable past July 1st of current year)
- If self-employed or paid in cash, patient must provide a signed notarized statement in English, indicating the amount earned for the last 60 days; or
- If patient’s support is provided by another person, verification of that person’s income is required along with a written statement in English indicating they are responsible for all patients needs.
PROOF OF ADDRESS
- Utility bill; or
- Lease agreement; or
- Two pieces of valid mail in your name with current address
Please feel free to call (281) 364-7889 if you have any questions.
Please contact us at email@example.com for additional information.
|101 Pine Manor Drive
Oak Ridge North, TX 77385