For Medical Services:
Patients are provided with one free medical appointment if a screening by staff indicates that the person meets the clinic’s eligibility requirements. The next step is an eligibility appointment.
Additional services, such as medications and testing, will be provided at no charge if eligibility is approved. Eligibility is reviewed every six months or when the patient’s circumstances change.
In 2009, the income limit is $27, 075 for one person, $36,425 for two in the household, etc.
Every effort is made to assist patients in finding the best and most affordable alternatives for their healthcare, including applications for free or low-cost health insurance.
To be screened for a medical appointment, call 215.345.2260 and select #2. Please call during business hours, Monday - Friday, 9am to 4pm. We are unable to provide screening or make appointments by email.
For Dental Services:
Dental services are provided by appointment only and clinics are set up according to the availability of volunteer dentists and hygienists. Unfortunately, we are not able to respond to dental emergencies and care is limited to urgent dental needs only.
In 2009, the income limit is $27, 075 for one person, $36,425 for two in the household, etc.
For information about dental services, call 215.345.2410 on Monday, Tuesday, Wednesday or Friday, between 9am and 1pm. We are unable to provide screening or make appointments by email.
Our eligibility requirements include proof of:
• Before- tax income within 200% of the Federal Poverty Level, ($21,660 for one person, $29,140 for two people, etc.). We consider the income of all persons living in the household, whether or not they are related to the patient
• Residency within the clinic service area
• Cash assets under $2,000 ($20,000 if in a retirement fund such as a 401k or IRA)
Patients with household incomes between 200% and 250% of the Federal Poverty Level are eligible for free medical and dental visits. These patients apply to Doylestown Hospital for charity care to cover the cost of testing and are responsible for the cost of their medications.
Links to documents for new patients to complete:
Patient information
Authorization for treatment
Behavioral health assessment
Privacy statement
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