Eligibility
WHO CAN BECOME A PATIENT?
You may qualify for ACHN’s free consultations and discounted services,
If you do not have medical insurance AND
Your household income falls within 300% of the Federal Poverty Level OR
You receive Federal or State benefits, such as:
-
- Food Stamps (SNAP)
- VA TANF (Temporary Assistance for Needy Families)
- Section 8 Housing
- Unemployment Benefits
- Social Security Benefits
- School Free Lunch Program
Registration
1. Meet the above criteria
2. Complete the Registration Packet
3. Provide a government-issued Photo ID – passport, green card, driver’s license, state ID
4. Provide proof of Income
Include one of the following: Recent Tax Return, W2 or one month of paycheck/stubs,
OR
Documentation of other income including social security, disability, retirement/pension, child support/alimony, unemployment income
OR
Documentation showing SNAP benefits, employment termination, zakat benefits, asylum/refugee status, VA TANF, Section 8 housing, student visa, or client of another 501(c) nonprofit organization.
5. Email, Fax, Mail, or bring in ALL of the above required documents.