770-507-1344   Henry County’s ONLY charitable medical and dental clinic

 

QUALITY MEDICAL SERVICE

Hands of Hope Clinic, Inc. conducts new patient enrollment on a dailly basis to determine eligibility for potential patients. Individuals must bring ALL required documentation to the pre-screening in order to qualify for services.

Those who qualify must also attend a New Patient Orientation.

New patient enrollment

Our new patient enrollment/pre-screening hours are:

Monday – Thursday, 9am – 3pm

(closed for lunch 12 – 1:30pm)

Providing proof of eligibility

If you are looking to enroll as a new patient, you must be able to provide both proof of residency and income before we are able to book your $10 initial appointment or $5 follow-up visit(s).

MUST BE:

Adult resident of Henry County, Georgia

No current health insurance coverage, including Medicare or Medicaid

Income falls at or below 300% of the federal poverty level

 

MUST HAVE:

• Valid Georgia Driver’s License (CANNOT BE EXPIRED)

  or

• Valid Georgia Identification Card (CANNOT BE EXPIRED)

  or

• A lease agreement or utility bill in your name AND valid Photo ID (Passport, Employer or Student ID)

• most current year complete federal tax return OR verification of non-filing statement (IRS Form 4506).

Individuals residing in rehabilitation centers or shelters must provide a dated letter or referral confirming their residency in the shelter

If employed:         2 most recent pay stubs, OR Letter from Employer verifying current income

(letter must be on employer letterhead)

If unemployed:     A Quarterly Wage Report from the GA Dept. of Labor (Local office located at

1630 Phoenix Blvd., College Park, GA # 678-479-5886)

If self-employed:  Current profit or loss statement must be included for all self-employed members

of the household, and all forms and schedules filed, and a Quarterly Wage Report.