Patient Information
Eligibility
- **NOW SEEING CHILDREN**
Must be a resident of Hardin, LaRue, Meade, Breckinridge or Grayson County
Must be uninsured
Receiving disability income WITHOUT medical coverage
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

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 doctor’s 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 doctor’s appointment. This means nothing to eat or drink after midnight the day before your screening appointment.
Services Provided to Those Who Qualify
*Basic Health Care
*Prescription Medication Assistance
*Health Counseling & Advocacy
*Extensive Care Coordination
*Chronic Disease Management
*Mental Health Services
*Medicaid Enrollment & Advocacy
*Medicare Enrollment & Plan Review/Renewal
*Assistance with Durable Medical Equipment
*Individual Diabetes Education
*On-site Licensed Charitable Pharmacy