Clinical and Nutrition Services
- Behavioral Health
- Breast and Cervical Health
- Center for Specialized Pulmonary Services
- Children's Health Services
- Eligibility Requirements
- Family Planning Clinical Services
- Healthcare Practitioner Disease Reporting
- HIV Clinical Services
- Refugee and Immigration
- STD Clinical Services
- Teen Health
- WIC
- Women's Health
- Pharmacy Services
- PACE Center for Girls
- Patient Forms
Eligibility Requirements
Contact Us
- 904-253-1000
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Mailing Address
921 N. Davis St.
Bldg. A, Suite 251
Jacksonville, Florida 32209
Please remember the following for your appointment:
- If you have Medicaid, please bring your gold Medicaid card with you
- If you have Medicare coverage, please bring your red, white, and blue Medicare card
- If you have private insurance, please bring your insurance identification card with you
Fees will be charged on a sliding fee scale based on your family’s income for the current month. Your family may include any person who lives with you and is related to you by blood, marriage, law, or conception. You may be asked to provide verification of your family’s income. Depending on your family income, you may be asked to provide proof that you have applied for Medicaid.
Types of income and documentation that may be needed:
Wages or Salaries
- Paycheck stubs or wage slips or a signed and dated statement from the employer
Income from Self-Employment
- Previous year’s income tax statement, or
- Most recent quarterly income tax statement, or
- Personal business records
Child Support or Alimony
- Check stubs, or
- A computer printout issued by the court of domestic relations, or
- A court order for child support or alimony (if the payer is complying), or
- A signed and dated statement from the payer
Unemployment Compensation, or
Worker’s Compensation, or
Social Security, or
Veteran’s Pension, or
Other Pensions or Annuities, or
Dividends and Interests (on savings or bonds)
- A notice of entitlement from a federal, state or private agency or corporation, or
- A copy of the benefit check, or
- A bank statement showing direct deposit of the benefit check, or
- A bank’s confirmation of direct deposit of the benefit check
Rental Income
- The previous year’s income tax statement, or
- Personal business records
Contributions
- A signed and dated statement from the individual(s) making contributions
No Income
- A signed and dated statement from the individual(s) providing your support, or
- A signed and dated letter or referral from a social service agency or institution providing financial or in-kind support
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