For Patients

Please contact our office by phone at (586) 649-3014 if you have questions or need help.

For Patients

Who can become a patient?

If you meet the below criteria and would like to become a patient, please call us at (586) 649-3014 to schedule an Eligibility Interview.

Be 19 Year or Older

Have household income at or below 250% of the Federal Poverty Level

Be uninsured or under-insured

What do I need to bring to my interview?

A current, valid, government issued photo ID (driver’s license, state ID, etc.)
EITHER Proof of income for the most recent one-month period*
- Pay stubs, including year-to-date information, for all working household members OR Social Security Statement of “New Benefits”
- Proof of all other household income (child support, worker’s compensation, unemployment, rental income, pension, etc.)
OR Your most recent tax filing*
- 1040 or 1040ez (tax return)
- Proof of non-filing status from the IRS For those who did not file taxes last year or have no income. The IRS can be reached at 1-800-829-1040

*If you have neither proof of income or your most recent tax filing, we will need a statement of limited income
Letter of Denial from Medicaid

What forms do I need?

As part of your Interview you will be asked to complete our Eligibility and New Patient Forms. You can download these forms by clicking the links below if you would like to complete them prior to your Eligibility Interview appointment:

Other Resources

Please check out this valuable resource–a website and mobile app that will help you find local, affordable health resources. Find MI Care was created by the Greater Detroit Area Health Council, a non-profit health care coalition, to help you find local and low-cost health care. It is a free tool that helps you find a clinic near you that meets all your health care needs. Select the services you need, then click Go! to get started. http://www.findmicare.org/

For Patients

For Patients

Who can become a patient?

Be 19 Year or Older

Have household income at or below 250% of the Federal Poverty Level

Be uninsured or under-insured

What do I need to bring to my interview?

What forms do I need?

As part of your Interview you will be asked to complete our Eligibility and New Patient Forms. You can download these forms by clicking the links below if you would like to complete them prior to your Eligibility Interview appointment:

Other Resources

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