- - Monday 9:00 AM - 4:00 PM
- Tuesday 9:00 AM - 4:00 PM
- Wednesday 9:00 AM - 4:00 PM
- Thursday 9:00 AM - 4:00 PM
- Friday 9:00 AM - 4:00 PM
- Saturday closed
- Sunday closed
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.
Proof of Residence
A utility bill
A piece of mail with your name on it)
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.
Crowd Source Service Rates - Let Our Users Know If You Paid During Your Visit
Have you visited Healthnet Of Janesville before? Let our users know, some cost details!
|Be the first to add a price for services! No rates have been added.|