Your generosity creates access to Christ centered free primary health care and counseling services.
You are required to submit proofs of your identification, Residency and Income. Attach photocopies of the required documentation to your application.
Note: Only send photocopies. Do not send Originals. They will not be returned.
Acceptable Proofs of Identification (provide one of the following documents below)
Acceptable Proofs of Residency (provide one of the following documents below)
Acceptable Proofs of Income (provide one document for each type of income for your monthly gross income)