Patient Eligibility

Patient Eligibility for Services

Our patients are people you see and know through out our community.  To be eligible for our services you must meet the following criteria:

  • A local resident with a valid NC state id.2016 Federal Poverty Guidelines, Patient Eligibility for Services
  • Have no medical or dental insurance.
  • Have incomes at or below 200% of the Federal Poverty Level.
  • Must be able to provide proof of income on initial visit.

Accepted forms of Proof of Income:

  • Recent paystubs (at least one month, preferably two months)
  • Last year’s Tax Return (e.g. Form 1040, 1040A)
  • Current Social Security Benefits Award Letter
  • Current Disability Benefits Award Letter
  • Unemployment Benefits Award Letter, wage history
  • A wage form or written statement from employer indicating monthly income
  • Documents showing any other income
  • If no income, letter of support from person or organization supporting you