We Are Accepting New Patients
Follow the three steps below to fill out the application.
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1
Determine If You Qualify
Applicants must meet ALL of the following requirements:
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1. Age
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4 years old +
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2. Employed
You must have a paid job OR have a household income and perform an important unpaid job, such as:
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caregiver
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volunteer
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attend school
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4. Residency
We serve residents of Comal and neighboring counties. Please provide proof of residency. Examples include lease, utility bill, etc.
3. Uninsured and underinsured
We DO NOT ACCEPT ANY insurance including Medicaid or Medicare. Underinsured residents must meet specific requirements. Please call the clinic for more information.
2
Complete Application
To become a new patient, you can visit the clinic to qualify in person during clinic hours. Send us a text at 830-251-4477 to request an application.
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OR
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Fill out the forms below.
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3
Prepare Your Documentation
If you apply online, you will need to bring ALL of the following documents to your first appointment:
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Proof of Income (W2, 3 recent pay stubs, or tax return)
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Photo ID
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Proof of Address (water or electric bill)
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Medications
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Medical history and lab results (if available)
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New Patient Forms
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If you apply in person, you will need to bring ALL of the following documents to Admissions:
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Proof of Income (W2, 3 recent pay stubs, or tax return)
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Photo ID
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Proof of Address (water or electric bill)
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Medications
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Medical history and lab results (if available
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New Patient Forms ​​
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Questions?
If you have any questions regarding this process or what to bring, please call our office: 830-228-4219
or email info@acaciamedicalmission.org