Eric B. Chandler Health Center

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Patient Information Guide

The Eric B Chandler Health Center participates in many federal and state-funded programs, including those that provide services to the uninsured and to others on a sliding fee scale based on an individual’s or family’s ability to pay. Many of these publicly-funded programs require that patients register for services and provide information to verify their identification, income and dependents.

Prior to your first visit, review the list below and, based on the information provided, your eligibility for services and payment level will be determined. In addition, the registration information provides the basis for contacting patients and families in case of a medical emergency, abnormal clinical laboratory tests, notification of new services, and changes in operation hours. Review the information below and bring the proper documentation to your first visit to ensure that you are properly registered for care. You will need one from each section.

Proof of Personal Identification

  • Driver’s License
  • Social Security Card
  • Immigration Registry Card
  • Birth Certificate
  • Employee Identification Card
  • Selective Service Card
  • Union Membership Card
  • Voter Registration Card
  • School Picture Identification Card

Proof of Residence

  • Rent Book/Lease
  • Utility Bill
  • Mortgage Invoice/Coupon

Proof of Household Income

  • Paycheck or Pay Stub
  • Unemployment Check Stub
  • Disability Check Stub
  • Social Security Award Letter/Copy of Check
  • Child Support Check Stub
  • Alimony Payment
  • Most Recent Income Tax Return
  • Statement of Foster Child Care Benefits

Patients without income are required to bring a signed EBCHC Support Letter from the person providing support.