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How To Qualify

How To Qualify

Forest

The purpose is to make sure that the limited resources available are given to those with the  most need. The following is required prior to your first visit and yearly thereafter.

 

Identification 

  • Valid photo ID

  • Social Security Number​

 

Taxes - Current or last year – From BOTH YOU AND YOUR SPOUSE/SIGNIFICANT OTHER:

  1. Taxes must be complete, signed and unaltered.

  2. If self-prepared, include letter of acceptance by the IRS

  3. If you did not file taxes last year, please provide both

         a.  “Verification of Non-Filing” letter from the IRS by:

          - calling them at 1-800-908-9946 and follow the prompts OR

          - going to www.irs.gov and click on “Get a Transcript of Your Tax Records” under  “Tools”

         b. Two most recent pay stubs or your most recent bank statement

 

Income limit is based on the size of your family. Family includes you, your spouse/significant other and your dependents who live with you. The annual income limit is based upon January 1, 2024 allowances.

Coming alongside each patient to bring
hope and encouragement

Financial Grid 2024.png

TO QUALIFY

 

To be seen as a patient at Healing Grace Clinic, you must have:

  • No health insurance

  • Limited income*

We look forward to partnering with you for your healthcare needs.

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