New Patients
First visit
While payment is expected at the time of service, all patients who come to Swope Health will be seen, regardless of their ability to pay, and billed accordingly.
For your first visit to Swope Health, please arrive 15 minutes before your appointment, and bring your:
- Insurance card for any active insurance plans you are enrolled in
- List of any medicine: prescription or over-the-counter medicine, including vitamins
- Immunization records (for minors)
- Photo ID or other forms of identification (see approved list below)
Additional Accepted Identification Documents
- Driver’s license (expired is accepted).
- Matricula consular/ Consular identification card.
- Passport (expired is accepted)
- School/College identification card
- Guardianship documentation
- Social Security card
- Birth certificate
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An Individual taxpayer identification number (ITIN).
This is a nine-digit number tax processing number issued by the Internal Revenue Service that always begins with the number 9 and has a range of 70-88 in the fourth and fifth digit. In 2011, the range was extended to include 900-70-0000 through 999-88-9999, 900-90-0000 through 999-92-9999 and 900-94-0000 through 999-99-9999. IRS issues ITINs to individuals who are required to have a U.S. taxpayer identification number but are not eligible to obtain a Social Security Number from the Social Security Administration.
Consent
When you register, you will also give consent for your care and make arrangements to pay for services. Our providers may not treat you without your consent of the consent of a legal guardian.
Important Information about Payments, Discounts, and Identification Documents
Paying for healthcare can be a challenge, especially if you do not have insurance. For that reason, Swope Health participates in a number of programs that might help you pay for the care you receive at our clinics. If you’re interested in being considered for such a program, there are certain documents (see lists below) needed to see if you qualify for assistance. Please bring them to your first appointment.
Acceptable Proof of Income Documents
- Current Paycheck stub
- A letter on company letterhead. Please include the following information: hourly rate, gross pay and the pay period
- Current unemployment determination letter.
- Social Security, pension, trust, SSI Disability award letter, food stamp budget summary or child support check.
- Current financial aid, Pell Grants, and/or scholarship papers.
- Current tax information.
- Bank statements showing consistent payroll deposits.
- W-2 forms (adjusted gross income).
- For elderly parents living with adult children or adult grandchildren, include income if adult children or adult grandchildren claim parents as dependents on their tax return. Otherwise, parents should be considered independent for the purposes of income and not counted in their adult children’s income.
- Non-cash items, such as food stamps, are not included in the income.
Acceptable Proof of Address Documents
- Current utility (electric, gas or telephone) bills
- A piece of mail addressed to you postmarked within 30 days
- Driver’s license with current address
- Paycheck stub with current mailing address
- Any government information that was mailed to you (Social Security, pension, trust, SSI Disability Award letter, food stamp summary, or child support check)
- Lease or mortgage agreement
- Photo or printed electronic copy of bills, bank statements or paycheck stubs