Compassion
Medical Clinic of Williams County, Inc.
614 E. Edgerton St., P o Box 644,
Bryan, OH 43506
419-630-0313
I. Eligibility
Criteria
1.
Must
be a resident of Williams County, Ohio. Proof of residency is required: ie.
Drivers license, state ID, or a current utility bill.
2. Must have no insurance coverage, private or governmental (i.e.
Medicaid, Medicare, Disability, Medical Assistance, Veterans Assistance). if
you have Workers Compensation the visit for today must be for an unrelated medical
condition.
3. Income eligibility of 2OO or below the Federal Poverty
Level.
|
Family Size |
Weekly Gross *Income |
Monthly Gross *Income |
|
1 |
$376.00 |
$1,633.00 |
|
2 |
$507.00 |
$2,199.00 |
|
3 |
$638.00 |
$3,333.00 |
|
4 |
$769.00 |
$3.899.00 |
|
5 |
$899.00 |
$4,466.00 |
|
6 |
$1,030.00 |
$5,033.00 |
|
7 |
$1,161.00 |
$5,599.00 |
*Gross
income is the amount before taxes and deductions are withheld.
Figures in chart effective 1/2007
II. Services that Compassion Medical Clinic of Williams County, Inc. does not offer.
1.
There are services we do not offer, either due to time restrictions, or because
these services are provided free or for a reduced fee at another agency or
because we are not licensed or equipped to offer them.
2. We DO NOT provide controlled substances or weight loss medication. No Narcotics on premises.
III. Patients Bill of Rights
CMCWC
welcomes all people of Williams County who are uninsured for the purpose of
providing health care services, prescription assistance and education in the
spirit of Christ.
We will tell you the truth
We will listen to you
You are part of our medical team.
You may talk freely with the CMCWC team.
We will tell you:
Who we are
What
we do at the CMCWC
What the CMCWC care providers think will help you
We care about you no matter:
What your race or religion is
If you are a boy, girl, man or woman
Where you were born
What you can or cannot do
What you look like
We will provide care for you in a safe setting, free from abuse, or harassment.
We will respect your privacy.