Lift Up Someone Today
ELIGIBILITY for Lift Up Springfield Mission Clinic
WE SINCERELY APPRECIATE YOUR DONATION. IT IS WHAT KEEPS US OPEN!
Please Pay It Forward - You Can Help Bless Many Lives
Lift Up now has so many people of so many income levels coming in for help that we are going to go to a sliding scale program so that it is fair to everyone that comes in.
REQUIRED FORMS FOR ALL PATIENTS: NEW and EXISTING
We will need you to show one of the following income requirements when you come in for a visit in order to establish your eligibility and will be required before we can see you. If you are unable to present ANY of these, then you will be assigned to the top tier level of payment until you are able to provide the required information.
Levels will be determined based on the national poverty scale.
One of the following 4 forms of eligibility will be required to be verified each year.
- Income tax returns for you or your family for the previous year
- Two consecutive pay stubbs
- If you are in a "temporary" situation: then you will need a letter from an official of your temporary home (violence shelter, homeless shelter, Christian Foundation, Veterans Home, etc), your correctional facility/parole officer, etc., verifying that you are currently under their care or supervision.
- Proof of FULL TIME enrollment for a student.