PATIENT RESOURCES

CLINIC HOURS

Tuesday: 4-8 pm.
(Walk-ins only. No appointment necessary)

Wednesday: By appointment only.
Please call our office to schedule an appointment: 307.739.7492
(If your call is not answered, please leave us a detailed message)

TO QUALIFY FOR THE FREE CLINIC

You must: - live and/or work in Teton County
- have a valid photo ID (driver's license, passport)
- not have any type of health insurance (Medicare, Medicaid, Worker’s Comp.,
make you ineligible to be seen)

-fall below 200% of the Federal Poverty Guideline (based upon yearly income and # of dependents) see guidelines below

WHAT TO BRING FOR YOUR FIRST VISIT

1. Proof of residence in Teton County (utility bill) OR proof of employment in Teton County (paystub, W2 form)

2. Proof of income

3. Photo ID (passport, driver’s license. consular ID)

4. A completed PATIENT INTAKE FORM AND MEDICAL HISTORY FORM

CLINIC LOCATION

505 E Broadway
Jackson, WY 83001

(in the same building as Jackson Pediatrics)