Email: info@cowetasamaritanclinic.org
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Patient Services
Free Medical Services
Eligibility Screening and Required Documentation
What to Bring
Links for Patients
Health Resources
Free Medical Services...By Appointment Only
• Primary healthcare
• Specialty clinics including Gynecology, Neurology, Dermatology and Cardiology onsite
• Specialty referrals where possible
• Nutrition Counseling and Patient Education
• Pastoral Counseling
• Patient Assistance Program for free medications where available
• Volunteer Physicians, Nurse Practitioners, Nurses and Physician Assistants
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Eligibility Screening and Required Documentation
Coweta Samaritan Clinic treats adults, ages 19 and above, who are residents of Coweta County with no health insurance and household income below 200% of the Federal Poverty Level (FPL).
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Eligibility Screening is by appointment.
Beginning the first of each month, 20 screening appointments for the month will be scheduled. To secure a screening appointment, prospective patients must personally visit the clinic on Mondays or Tuesdays between 10:00 a.m. and noon and present a photo ID with a current Coweta County address. The first 20 people will receive a screening appointment for later in the month. Once 20 screening appointments are filled, people will have to try again the following month.
The following documentation is required at eligibility screening:
Proof of Residency in Coweta County:
- Valid photo ID with a current Coweta County street address (No PO Boxes)
- If your current address does not match your photo ID address, provide a utility bill or mortgage statement with your name and Coweta County address
- If you have no bills in your name, provide a letter from the person you are living with stating that you live there together with a current utility bill or mortgage statement in that person’s name.
Proof of Income
- A copy of your most current tax return, W-2 or 1099 statement (for you and your spouse where applicable)
- If you did not file taxes last year, provide a Wage Inquiry Statement form the Georgia Department of Labor. You will also be required to sign IRS Form 4506-T that will be submitted to the IRS to verify that you did not file taxes the previous year.
Frequently Asked Questions
Who does the Coweta Samaritan Clinic serve?
The clinic will serve Coweta County residents who are uninsured or underinsured and have a household income at or below 200% of the federal poverty level.
Why does Coweta County need a free clinic?
Coweta County has a 10.7% unemployment rate and approximately 15,000 uninsured adults age 18-64 based on 2006 data.
These residents have no medical home where they receive preventative or primary care. A patient served by the free clinic will have an ongoing doctor/patient relationship with clinic physicians and nurse practitioners.
What the free clinic provides?
Quality healthcare and health education.
Primary care for chronic medical problems like high blood pressure, diabetes and asthma
Links to local social services.
How is the free clinic be different from the Coweta County Health Department??
The Coweta County Health Department offers preventative care including education and immunizations, but does not provide primary care services.
The free clinic will offer primary care with access to specialty care.
Does the free clinic duplicate services offered elsewhere in the county?
A Rural Healthcare Network has been formed with the Coweta County Health Department, One Roof, PAPP Clinic and Piedmont Newnan Hospital. They will work together to ensure that the free clinic does not duplicate services.
Who staffs the free clinic?
Dr. Kay Crosby and other volunteer health care professionals will provide care for the clinic’s patients. Office and administrative volunteer opportunities are also available.
Links for Patients
Peachcare for Kids: http://www.peachcare.org/
Georgia Medicaid: http://dch.georgia.gov/00/channel_title/o.2094.31446711_33935684.00.html
Georgia Medicare: http://www.cahabagba.com/
State of Georgia: http://www.ga.gov
Bureau of Primary Healthcare: http://bphc.hrsa.gov
Department of Health & Human Services: http://www.health.gov/
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Health Resources
Facts on Quitting Smoking form the CDC
http://www.cdc.gov/tobacco/how2quit.htm
“All about Diabetes” from the American Diabetes Association
http://www.diabetes.org/about-diabetes.jsp
Food & Nutrition Information Center
http://www.nal.usda.gov/fnic/
General Information on Cancer, Support, and Treatment
http://www.cancer.org
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