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CLINIC HOURS
Tuesday: 4-8 pm. (Walk-ins only. No appointment necessary)
Wednesday: By appointment only.
Please call our office to schedule an appointment: 307.739.7492
(If your call is not answered, please leave us a detailed message)
TO QUALIFY FOR THE FREE CLINIC
You must: - live and/or work in Teton County
- have a valid photo ID (driver's license, passport)
- not have any type of health insurance (Medicare, Medicaid, Workers Comp.,
make you ineligible to be seen)
WHAT TO BRING FOR YOUR FIRST VISIT
Proof of residence in Teton County (utility bill) OR proof of employment in Teton County (paystub, W2 form)
Proof of income
Photo ID (passport, drivers license. consular ID)
A completed PATIENT INTAKE FORM AND MEDICAL HISTORY FORM
Since this is a sliding fee scale clinic, we have provided the Federal Poverty Guidelines below. Visit the Teton Free Clinic website listed above to see what the level is needed for free care.
| Persons In Family Household | Poverty Guideline Salary per year |
|---|---|
| 1 | $14,580 |
| 2 | $19,720 |
| 3 | $24,860 |
| 4 | $30,000 |
| 5 | $35,140 |
| 6 | $40,280 |
| 7 | $45,420 |
| 8 | $50,560 |
For Households with more than 8 persons, add $4,480 for each additional person.
*Alaska and Hawaii have different rates for HUD federal poverty guidelines.
These numbers above represent 100% of the Federal Poverty Rate. In order to get reduced or free services from some clinics, they use a sliding fee scale based on your income.When they use a sliding fee scale, the 100% rate can be different than 100%. In those cases, using for example a 200% federal poverty level, you will only need double the 100% number listed above to 200%.
Do you have a question about Teton Free Clinic?
Ask below or help other by answering a question you might know the answer to.
Lung/chest pain
Last time I used it my income was low enough to qualify
Just started blood pressure meds
Yes this clinic is a life saver
Crowd Source Service Rates - Let Our Users Know If You Paid During Your Visit
| Date Added | Cost | Type | Description |
| Be the first to add a price for services! No rates have been added. | |||
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