Eligibility

Making healthcare available to those in need

To receive medical and/or dental services at San José Clinic, individuals must go through an eligibility screening. A San José Clinic card is rendered according to family size and income, based on the Federal Poverty Guidelines. Eligibility interviews are conducted on a walk-in basis. No appointment is necessary. Eligibility interviews for the Clinic are from 8 a.m. to 4 p.m., Monday through Friday. 

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For eligibility interviews, please print, complete and bring the following documents with you:
 

Eligibility application Aplicación para eligibilidad
Dental records release Concentimiento para entrega de información 
    dental
Medical records release Concentimiento para entrega de información
    medica
Wage verification letter Carta de verificación de salario

Please complete as much as possible on the forms before coming to the eligibility interview.

Please feel free to call 713-490-2610 if you have any questions.