To qualify for treatment from the Emmanuel Project, patients must meet the following eligibility criteria:
| Family Size | Monthly (200%) | Yearly (200%) |
|---|---|---|
| 1 | $3,765 | $45,180 |
| 2 | $5,110 | $61,320 |
| 3 | $6,455 | $77,460 |
| 4 | $7,800 | $93,600 |
| 5 | $9,145 | $109,740 |
| 6 | $10,490 | $125,880 |
| 7 | $11,835 | $142,020 |
| 8 | $13,180 | $158,160 |
| For Each additional person add: | $1345 | $16,140 |
Please print and complete for each individual requesting an appointment.
Please print and complete for each individual requesting an appointment.
Adult & Pediatric Medical History
Please limit your requested date to those available in the above calendar.
