Provide proof of income
Acceptable documents: 1040 form OR three recent paycheck stubs, OR a notarized document from someone willing to be responsible for patient’s bill
2.
Must meet income criteria
Patient cannot have any type of insurance
3.
Provide proof of address, ID, and number of individuals in the patient household
Acceptable documents: utility bill OR gas bill, OR mail that has patient’s name connected with the address they are using
4.
Provide Social Security cards OR tax ID for each member being counted in the household
InterFaith is not a walk-in clinic. Patients of InterFaith must qualify by completing a patient application and returning it to InterFaith, or by calling 865-546-7330.