How to Receive Services at HFHC

If you are a new patient OR are an existing patient that has not received services at Holland Free Health Clinic in the past year:

1. Review the eligibility guidelines below to determine if you qualify for services.
2. If you are eligible OR have any questions about eligibility guidelines, fill out the New Patient Form (click the button below) or call us at (616) 392-3610. We will schedule an intake appointment to connect you with our services.

* Patients are required to arrive on time for scheduled appointments. Excessive  tardiness, late cancellations or no-shows are not acceptable. You will no longer be a patient of the clinic with frequent attendance issues.  

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New Patient Form

Eligibility

Eligible patients are 18 years of age or older AND meet the following criteria:

1. Uninsured or under-insured (Medicaid or other limited coverage)
2. Household income is less than 200% of the Federal Poverty Level
3. Have less than $5,000 (if single) or $10,000 (if married) in savings, 401k, or other retirement accounts

Use the diagram below to determine if you are eligible for services at Holland Free Health Clinic.