Eligibility & Requirements

You are eligible if:

  • You are a resident of Page County
  • Your age is 19-64
  • Your yearly income before taxes is  between $0-300% of the Federal Poverty Level (we will help you figure that out)
  • You do not have, or qualify for, any type of medical insurance, including Medicaid and Medicare

Please bring proof of income from one of the following categories:

  • Past 2 consecutive pay stubs
  • Food stamp verification letter
  • Proof of child support/alimony
  • Federal Tax returns
  • Social Security statement with the amount you receive, or copies of your SSA
  • Unemployment checks

Click on the link below to download and print and bring with you to your first visit.

Eligibility Form for Page Free Clinic