Am I Eligible to be a Patient
at River Valley Christian Clinic?

 

People who are interested in becoming a patient at RVCC:  

  • Must fall within 125% of the Federal Poverty Guidelines.
  • Must have NO Medical Insurance of any kind.
  • Must provide a Medicaid denial letter from DHS (current within 3 months)
  • Must verify income for everyone in the home whether they are related or not.
      • Salaries (pay stubs for 3 months-Most current)
      • Social Security (copy of benefit letter for current year)
      • SSD (copy of benefit letter for current year)
      • SSI (copy of benefit letter for current year)
      • Unemployment (proof showing beginning and ending dates)
      • Workman’s Compensation (letter showing beginning and ending dates)
      • Child Support (copy of support payments)
      • Alimony (copy of letter showing amount)
      • Pension/retirement (statement showing monthly amount received)
      • Student grants/loans (letter from school finance office showing amount of grants/loans/tuition, etc.)
      • Food Stamps (letter showing current benefit amount)
      • Rental Assistance (letter from housing authority showing how much THEY subsidize)
      • TEA Assistance (letter showing amount of benefit)

·        Must provide photo ID or driver’s license

·        Must provide social security card
 

We accept patients with Medicaid and Medicare for Dental and Optical services ONLY.
 

The Love of Christ in Action
 

River Valley Christian Clinic

1714 State Highway 22

  Dardanelle, AR 72834
 

479-229-2566
Toll Free  877-229-3450
FAX 479-229-1021
 

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