ELIGIBILITY REQUIREMENTS (AS OF JULY 1, 2026)

All patients of the Healing Bridge Clinic must complete new eligibility requirements before any appointments are scheduled. Eligibility will be reviewed annually on July 1.

1. All patients must be a Georgia resident between the ages of 19-64 and must be able to provide a valid and current photo I.D. (Driver’s license, state issued ID or Passport are acceptable forms of ID.)

2. All patients must be without any form of health care insurance (no private insurance, Medicare, Medicaid or TRI-CARE.)

3. All patients must provide proof of residency.

a. Utility bill (electric, water, gas), voter registration card, or lease agreement from the previous month with patient's name and address listed, vehicle registration card, or bank statement. Document must have current address.

b. For patients living with someone else, we require:

I. A Notarized document from the homeowner. The homeowner must state that the patient lives with them and provide information about financial support (if any) the patient receives from them. (This notarized letter can also be used as proof of income for patient)

II. A proof of residency document showing the name and address of the homeowner is also required. (Utility bill (electric, water, gas), voter registration card, or vehicle registration card)

4. All patients must provide current proof of household income:

a. Paystub, Social Security Statement, tax return, an employer provided WG-15 form, W-2 form, 1099 form, or note from employer on company letterhead verifying pay if working a cash job. OR

b. "Wage inquiry" for yourself (and your spouse, if applicable) from the Georgia Department of Labor if not receiving wages. OR

c. A signed and Notarized document stating you are unemployed and have zero income.

5. All patients must have an income that is 200% or below the Federal Poverty Guidelines.

*Additional documentation may be required for patients requiring imaging.