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Patient Information

WHAT IS PROJECT ACCESS?

We are a healthcare assistance program for the qualified uninsured residents of Richmond and Columbia Counties. Primary care services are available at area community clinics for a small co-pay. Specialty care services are provided at private practices free of charge. Three hospitals in Richmond County are also participating by providing x-ray, lab, diagnostic testing, inpatient and outpatient services free of charge; those are Doctors Hospital, Trinity Hospital and University Hospital. Prescription drugs are also available through the program for a $5 co-pay per prescription. However, the prescription must be written by a Project Access physician and not all drugs are covered.

WHAT ARE THE QUALIFICATIONS?

  1. Resident of Richmond County for at least 6 months / 1 Year for Columbia County.
  2. Between the ages of 19-64
  3. Uninsured
  4. Household income at or below 200% of the Federal Poverty Guidelines (ex: family of four - $51,504/year)
  5. Current health issue

If you feel you meet these criteria or want more information, call (706) 733-5177. You may pick up an application at our office, 2612 Commons Boulevard or you may download and print the application from the link below. Upon submission of your application you must provide proof of residence and proof of income, including any assistance payments for all members of your household, regardless of who is applying (See Acceptable Proofs document for list of information required). Once all the information is received we will determine your eligibility and schedule an appointment to meet with our casemanager to finalize the application process. If you are deemed eligible for the program we will then schedule you an appointment with one of our participating physicians.

PLEASE NOTE: Applications that are determined to be incomplete will only be held for 30 days. You will NOT be contacted to request missing information. It is in your best interest to contact us after submission to insure we have received all necessary documentation to process your application.

Click below to to download/open the patient application!

New Enrollment Form Packet New Enrollment Form Packet

New Patient Enrollment Packet (FILLABLE) 10-19 New Patient Enrollment Packet (FILLABLE) 10-19

Household Member Data Sheet Household Member Data Sheet

Patient Responsibility Form Patient Responsibility Form

No Income - Transient Form (PDF) No Income - Transient Form (PDF)

Contributions Form (PDF) Contributions Form (PDF)

Self Employment Form (PDF) Self Employment Form (PDF)

Please keep in mind that Project Access is a volunteer health care organization. At the present time MOST specialty care services have a waiting list.

If you have further questions please call (706) 733-5177 or click on contact us to send an email.

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  • Home
  • Goals And Objectives
  • Services
  • Officers
  • By-Laws
  • Partners And Volunteers
  • History
  • Photo Galleries
  • Contact
  • APPLY NOW