TO BE ELIGIBLE TO RECEIVE SERVICES FROM
WARREN COUNTY FREE CLINIC, INC.
YOU MUST BE UNISURED
Do Not Have Health Coverage
Household Income Below the 250% of the Federal Poverty Level
FOR EXAMPLE:
FAMILY SIZE INCOME
1 $24,500/Yearly Gross
2 $33,000/Yearly Gross
3 $41,500/Yearly Gross
( add $8,500 for each additional person)
ELIGIBILITY
Be a Resident of Warren or Vance County
and Present Proof of Residency
(For example: Mail addressed to you at your residence)
• Not a Military Dependent
• Over 18 and Under 65 Years of Age
• Have Photo Identification
• Present Proof of Household Income
Including Current Income Tax
and
If you are are a resident of Warren or Vance County preparing to visit the Warren County Free Clinic for the first time, we have provided information and forms for your review and preparation to expedite your visit. Please click, download and print.
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