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
Proof of residence in Teton County (utility bill) OR proof of employment in Teton County (paystub & W2 form)
Proof of income
Photo ID (passport, driver’s license. consular ID)
A completed PATIENT INTAKE FORM AND MEDICAL HISTORY FORM