PATIENTS

If you need health care and are uninsured, you may be eligible for free care at the Community Health Clinic. To receive free preliminary medical services you must first be determined eligible for care.

Who is eligible?

  • Butler County Residents
  • Individuals who have no privat or government-funded insurance
  • Aged 19-64
  • Yearly household income no greater than:
       -  Individual...................$20,800
       -  Two People................$28,000
       -  Three People..............$35,200
       -  Four People................$42,400
            *Add $7,200 for each additional member

Patients will be seen by appointment only.  Your first appointment will be to establish that you are eligible for service.  When you are accepted you may make an appointment for a medical visit.  Please complete the online application below and an eligibility screener will contact you to complete the process for services.

Please note:

  • The Community Health Clinic is not a walk-in clinic.
  • Volunteer health care providers and eligibility screeners are only available by scheduled appointment.
  • We will not duplicate services already available in the community.  Our case manager and trained volunteers will help guide those eligible for other services to the appropriate agency.
  • There are no narcotics of cash at the Community Health Clinic.

 

You may download the initial application below or call 724-841-0980 and leave your name and telephone number. Beth Shingleton, our Case Manager will call you back and arrange a screening appointment.

Online Eligibility Form                                                           Patient Telephone Form 

Upon receipt of all of your informatin, your file will be reviewed for eligibility, normally within two weeks.  When scheduled for an eligibility appointment please bring the following information:

  • Photo ID
  • Proof of address (driver's license, utility bill, rent receipt, etc.)
  • Proof of income for household. Household is defined by the # of dependents claimed on your most recent tax statement. 
    Income:  All sources such as:  employment, self-employment, unemployment compensation, social security income, Supplemental Security income, Social Security Disability Income, pension, veteran's benefits, welfare, child support, food stamps, etc.  (Please call for more information).
  • Current W-2 FOrm for most recent tax year.
  • Current 1040 Tax FOrm (Copies can be obtained by calling 1-800-829-1040)

Thank you for your interest in the Community Health Clinic of BUtler County.

You may also download the initial application and mail, fax, or email the completed for to us.

Community Health Clinic
Attn:  Eligibility Services
103 Bonnie Drive
Butler, PA 16002
Fax:  724-841-0984

Please call 724-841-0980 with any questions you may have.