Family Size Last 30 days income MUST be less than
1 $2,082
2 $2,818
3 $3,555
4 $4,292
Add $737 for each additional person
Hospital Referral New Patient Form Appointments

Eligibility Criteria

Patient must be resident of Duval County

Age 18 and above

Patient  must NOT have any health insurance

You must bring a proof of income. This includes a last paycheck, Social Security Disability, or a Notarized letter of support document in case of no income.