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 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.
