Eligibility Criteria

To become a patient, you must first go through the eligibility screening process and qualify for services meeting the 200% or below federal poverty level. Screenings are conducted Tuesdays through Thursdays by appointment.

  • Identification – Driver’s license or other official photo ID
  • Proof of your Pulaski County residency
  • Proof of income for the entire household
  • Last 30 days of pay stubs, if employed
  • Income records, if self-employed
  • Most recent Federal Income Tax Return (1040)
  • If you did not file taxes, a form will be provided by the clinic
  • Letter showing Unemployment Benefits, Disability Benefits and/or Social Security Benefits
  • Food Stamp Award Letter