Patient Information

PATIENT INFORMATION

Patient Requirements

Individuals interested in becoming a Hands of Hope Clinic patient must meet the following requirements:
1. Must be a HENRY COUNTY RESIDENT.
2. Must be Medically Uninsured.
Those with Medicaid, Medicare, or Private Insurance do not qualify.
3. Must meet Low Household Income requirements.
Individuals must have a household income at or below 300% of the Federal Poverty Level.
(See Chart Below for Reference)
*Patients Must Re-Certify Annually*

Patient Application

If you meet all three (3) requirements above, please download our patient application. Once you have fully completed the application, call the clinic at 770-507-1344 to schedule a certification appointment.

Patient Co-Pays and Fees

NOTICE: 2024 UPDATED CO-PAYS & FEES

As of January 1, 2024 Patient Co-Pays have increased.

As of August 1, 2024 Late Cancellation and No-Show Fees have been implemented.