BECOME A PATIENT

Partners for healing is not a walk-in clinic. All patients must have an appointment to receive care.

SERVICES

  • MEDICAL SERVICES
    • Primary Care
    • Diagnostic Testing
    • Disease Management
    • Specialist Care Referral
  • WELLNESS PROGRAM
  • COUNSELING

WHO QUALIFIES?

UNINSURED:

Partners for Healing  provides care to those who have someone working at least 20 hours a week in the home. The patient(s) can Live or Work in Coffee, Franklin or Moore Counties or be a full-time student (12 hours of course-work) and must be uninsured.

HOW TO GET CARE

Please download and print the following application prior to scheduling your first appointment. Simply fill it out and bring it in with the required documentation to the clinic. We will look them over and schedule your first appointment upon approval.

patient-application-form-english

patient-application-form-spanish

Documents Needed to Apply:

  • TWO MOST RECENT PAYSTUBS & ALL INCOME DOCUMENTATION FOR HOUSEHOLD
  • PROOF OF PHYSICAL ADDRESS THAT MATCHES ID (ie. Phone, Electric, Water Bill)
  • PHOTO IDENTIFICATION
  • YOUR MOST RECENT INCOME TAX FORMS (1040, 1040A, & Schedules) (Optional)

General Guidelines used in considering application:

  • Live or Work in Coffee, Franklin or Moore Counties in TN
  • Someone in the household works 20 hours per week (or more, documentation required)
  • Entire Household Income @ 250% of Federal Poverty Guideline or below

250% of the Federal Poverty Level Guidelines: (Downloadable PDF)

Family Size

Annual

Monthly

Weekly

1 29,700 2,475 619
2 40,050 3,338 834
3 50,400 4,200 1,050
4 60,750 5,063 1,266
5 71,100 5,925 1,481
6 81,450 6,788 1,697
7 91,825 7,652 1,913
8 102,225 8,519 2,130
Each Additional 10,400 867 200

Partners for Healing does not discriminate on the basis of race, color, religion, gender, national origin, age disability, genetic information, or veteran status in accordance with applicable federal, state and local laws, or any other legally protected status, in providing services.