Patient Enrollment

Patient enrollment is available every day.

Call 330.764.9300

Patient enrollment is available every day. Remember to include your name and daytime phone number. Calls will be returned within one business day.

Patient Enrollment Form
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High Deductible

To be eligible to receive free or discounted care, working high deductible applicants must:

  • be 18-64 years of age
  • be employed
  • have a high deductible health insurance plan
  • receive no government medical care or aid such as Medicaid or Medicare
  • have an income level within 250% of the federal poverty level
  • live in Medina County

Working Uninsured

To be eligible to receive free care, working uninsured applicants must:

  • be 18-64 years of age
  • be employed
  • have no health insurance
  • receive no government medical care or aid such as Medicaid or Medicare
  • have an income level within 250% of the federal poverty level
  • ┬álive in Medina County
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