How to Enroll

Place of Hope, Inc. welcomes walk-ins and appointments. If you are a first-time patient, please arrive 30 minutes earlier. Individuals must bring ALL required documentation to the pre-screening in order to receive services

TO BE ELIGIBLE FOR SERVICES AT Place of Hope Free Clinic, you must bring proof of residence and proof of income.

Individuals who fail to provide proof of income will not be able to access services until proof is provided.

PROOF OF RESIDENCE AND IDENTITY

MUST BE:

Adult resident of Clayton County, Georgia

No current health insurance coverage, including Medicare or Medicaid

Income falls at or below 300% of the federal poverty level

You must have one of the following:

1) VALID Driver's License (can’t be expired)

2) VALID State ID (can’t be expired)

3) VALID Permanent Resident (Green Card) (can’t be expired)

4) A lease agreement or utility bill in your name AND valid Photo ID (Passport, Employer or Student ID)

5) Most current year complete federal tax return OR verification of non-filing statement (IRS Form 4506).

Individuals residing in rehabilitation centers or shelters must provide a dated letter or referral confirming their residency in the shelter

PROOF OF INCOME (REQUIRED BEFORE SERVICES ARE PROVIDED) may include any of the following:

If employed:         2 most current pay stubs, OR Letter from Employer verifying current income

(letter must be on employer letterhead); most current tax return

If unemployed:     A Quarterly Wage Report from the GA Dept. of Labor (Local office located at

1630 Phoenix Blvd., College Park, GA # 678-479-5886);

Copy of check or a letter from Social Security, SSI, Unemployment or Worker's Compensation pension or annuity;

Verification of benefits from Department of Family & Children Services (DFCS)

If self-employed:  Current profit or loss statement must be included for all self-employed members

of the household, and all forms and schedules filed, and a Quarterly Wage Report.

Proof of Income from Department of Labor (DOL)

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Enrollment