Patient Information
Eligibility
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.
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