WV Health Right serves low-income individuals who are uninsured, underinsured, and medically underserved. All patients must provide proof of household income on an annual basis and fall within the Federal Poverty Level guidelines to receive services at the clinic.
Download our ELIGIBILITY APPLICATION and bring your proof of income to see if you can receive services at WV Health Right. You will need to provide a picture ID and a pay stub.
In order to be able to provide comprehensive services WE MUST HAVE ONE OR MORE OF THE FOLLOWING:
- A CURRENT 1040 OR 1040A TAX RETURN (YOU CAN CALL THE IRS AT 1-800-908-9946 TO REQUEST A COPY OF THIS FORM)
- A CURRENT W-2 FROM YOUR EMPLOYER
- A CURRENT 1099 BENEFITS STATEMENT
- COPIES OF ONE MONTH’S WAGES
NOTE: If you or your family members do not file income taxes, then we MUST have a completed Form4506-T (Proof of Non‐Filing or Authorization for West Virginia Health Right to obtain your tax return)
This form is available from the IRS or YOU CAN CLICK HERE TO DOWNLOAD IT!
If you do not file taxes, and are on social security, we must have a 1099 Benefits Statement for the CURRENT year OR a statement from your bank with proof of your United States Treasury Direct Deposit(s).