Healthnet Of Janesville

About Healthnet Of Janesville

In order to get more information on this clinic, click on the icons below. You may be required to join for free in order to access full contact information.

Free non emergency medical clinic offering quality healthcare to children and adult, delivered free or at low cost.

Required documentation:

Proof of Residence

    A utility bill
    A piece of mail with your name on it)

Income verification

    Payroll check stubs (two of the most recent for every working member of the household). If self employed, Schedule C
    Unemployment or Social Security verification documentation (cannot be a bank statement)
    Current verification of all other sources of income (child support, rental assistance, workers compensation, disability, alimony, pension & annuities, interest & dividends, financial assistance for living expenses)

Current tax information

    1040 EZ (page 1)
    1040 (pages 1-2)
    If self-employed, Schedule C (pages 1-2)

Other documentation to provide

    If you have applied for an insurance hardship exemption, please provide proof.

Must apply for BadgerCare/Medicaid
  
    Please bring the letter of approval or denial that states your full name.

You must present a copy of your most-recent federal tax return. This requirement will be waived until April 15 each year if you have not yet filed taxes. After April 15 you will be ineligible for ALL HealthNet services until the tax return is brought in. If you do not file taxes, we will have you sign a 4506-T form.

Since this is a sliding fee scale clinic, we have provided the Federal Poverty Guidelines below. Visit the Healthnet Of Janesville website listed above to see what the level is needed for free care.

Health Care Center