Chandler
Health en Español
Patient Guide
Upon your initial visit
to the Eric B. Chandler Health Center, bring one of the following
documents to ensure that you will be properly registered:
Proof of Personal Identification:
- Driver's License
- Social Security Card
- Immigration Registry Card
- Birth Certificate
- Employee Identification Card
- School Picture Identification Card
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If you are uninsured please
call 732-235-7283 to make an appointment for sliding fee scale evaluation.
The following documentation will be required at time of evaluation:
Proof of Residence:
- Lease
- Utility Bill
- EBCHC Signed Support Form by person providing assistance
- Any piece of U.S. postal mail displaying address
Proof of Household Income:
- Pay Stub
- Unemployment Check Stub
- Disability Check Stub
- Social Security Award Letter
- Child Support Check Stub
- Alimony Payment
- Most Recent Income Tax Return
- Statement of Foster Child Care Benefits
- Signed Statement on Employer Letterhead
- EBCHC Signed Support Form by person providing assistance
Liquid Assets at Time
of Service:
- Copy of checking and/or savings accounts
- IRA, CD, stocks, bonds
- Any account that can be readily converted into cash.
Medical or Dental Insurance
Cards:
- If you or your children have medical or dental insurance, please
bring the insurance I.D. card(s).
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