New Patient Financial Screening
Offered by Rapha Clinic of West Georgia
Staff screen new patients to confirm eligibility for clinic services.
Plain-language summary, written with AI
Cost & format
free · In person
Schedule
- Tuesdays 2:00 PM-4:00 PM, Thursdays 8:30 AM-3:00 PM, or by scheduled appointment
Who this is for
Bring picture ID, Social Security card, proof of household income for one month, proof of food stamps if applicable, proof of residency, Medicaid denial letter, last year's tax return if filed, and a list of all medicines and doses.
How to apply
Complete the new patient application and return it to Tracey Hampton by email, bring it to the clinic, or mail it back.
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The details that matter
- ID required
- YesAI-extracted, unconfirmed
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