BECOME A PATIENT

STEP ONE

Fill out our quick prequalifying form to see if you’re eligible to get care at Hope House.

Show Form

STEP TWO

If you qualify, download and fill out our required forms. Turn in these forms to the clinic at your first appointment.

Download Forms

STEP THREE

Call or visit our location to set up an appointment. Make sure you bring:

  • patient forms
  • evidence of no insurance
  • pay stub
  • identification

PREQUALIFYING FORM

Check the box that most applies to you.

I am uninsured.

I am an individual making less than $29,425 a year.

My partner and I are making less than $39,825 a year.

My family of four makes less than $60,625 a year.

None of these apply to me.

Yes, you are eligible to get care.

Please contact us if you have any questions about setting up an appointment.

Sorry, you are not eligible to get care.

Please contact us if you have any questions about getting medical care in the community.

WHO YOU'LL SEE

Dr. Marla Vance

Dr. Sarah Smoes

Dr. Thomas Wright

Dr. Eva Bartlett

PATIENT STORIES

“I HAVE BUILT A NEW RELATIONSHIP WITH JESUS CHRIST…”

It was nice not to feel rushed. Very professional and calm sense of manner. I never understood or believed that God loves me or cares about me ...until now. Thank you for taking the time to listen, to share this with me, and to help me receive Jesus as my Savior tonight. I am so thankful for the care I have received here. I will soon be completing my Social Work college degree and I want to join the team of volunteers here.

“HOPE HOUSE WAS LIKE A LIGHT HOUSE TO MY WIFE AND I…”

My wife suggested that I visit an orthopedist who specializes in hips. The orthopedist reviewed my MRI and hip x-ray report, and explained that I most likely had arthritis in both hips. Hope House was able to help me get the surgery that I needed and then continue to guide me through my recovery. I don’t know what I would’ve done without the people at Hope House. They were truly a light house to my wife and I.