Patient Information


  • Must be a resident of Hardin, LaRue, Meade, Breckinridge or Grayson County
  • Must be 18 years of age or older
  • Must be uninsured
  • Receiving disability income WITHOUT medical coverage
  • Have a household income of 300% of the Federal Poverty Level (FPL) or below. 
Screening Appointment
If you feel you meet these qualifications and would like to become a patient of the Clinic you will need to call and schedule a screening appointment. At this appointment, you will not see a provider. You will need to fill out the Clinics registration forms, just like paperwork at any doctors office. We will need to get some information from you showing that you do qualify for services at the Clinic.
**FASTING LABS will be done at the screening appointment. This is for the doctor to have baseline labs to go by at your first doctors appointment. This means nothing to eat or drink after midnight the day before your screening appointment.
Items Needed During Screening Appointment
  • Photo ID
  • Proof of residency (home address, if ID not current)
  • Proof of household income (anyone on the same tax forms)
    • Previous 2 months pay stubs
    • Unemployment letter/stub
    • Social Security/Disability Statement
    • Child Support
    • Self-Employment
    • Current Years Taxes
  • Current bottles of medication, even if empty
  • Information of previous provider