What To Bring to Our Clinics

I. Proof of Income – (Includes all household/family income) – Bring ONE of the following as proof of income.

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• 1040 Federal Income Tax Return

• Social Security Award Letter (SS)

• Social Security Disability Award Letter (SSDI)

• Social Security Supplemental Income Award Letter (SSI)

• Salary/Wages (i.e. Employment Check Stubs)

• Child Support or Spousal Support

• Unemployment Letter

• Interest or Dividends

• Proof of no income (i.e. food stamp letter)

• Rental Income

• TANF

• Pension/ Retirement

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II. Proof of Insurance – If Applicable,

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• Insurance Card

• Medicaid Card

• Medicare Card

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III. Proof of Identity

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• Social Security Card

• Driver’s License

• State ID

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IV. Proof of Residency

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• Driver’s License

• Utility Bill (i.e. Entergy or Water)

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V. Medical

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• Current Medications

• Paperwork from any hospital visits

 

ALL CO-PAYMENTS ARE DUE AT THE TIME OF SERVICE