To qualify for treatment from the Emmanuel Project, patients must meet the following eligibility criteria:
| Family Size | Monthly (300%) | Yearly (300%) |
|---|---|---|
| 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.
To make an appointment, please follow the link below to access the patient portal.
If you are scheduling an appointment for a Child, or as a "Caregiver or Family Member," please email the following information for each patient to [email protected]:
· Date of desired appointment
· Patient's full name
· Date of birth
· Address
· Parent/Guardian name
· Phone number
· Email address
The required 680 Vaccination Record and DH3040 Physical Examination forms will be provided only if the above information is given before the date of service.
You will be contacted by one of our team members to confirm the appointment date and time.
If you have questions regarding our Patient Portal or issues scheduling, please contact 904-479-0279 or email [email protected].
Patient Portal