Most recent pay stub (If self employed,
ledger for past three months)

Proof of income for all members of household
(including child support, alimony, SSI)

Most recent 1040 income tax return

Proof of residence in Lafayette Parish
(utility bill or other official mail with name and
Lafayette Parish address)

Photo ID

Social security numbers of all qualifying
household members


HOW TO MAKE AN APPOINTMENT


You must have an appointment to be seen by a doctor or dentist at the Clinic.

The appointment line is only answered on Tuesday and Thursday mornings between 10:00am - 12:00pm for that evening's Clinic. Appointments are taken at this time on Tuesday for general medical for that night and on Thursday for general medical and general dental (tooth extractions) for that night. All other apointments are made in person.

The phone number for the appointment line is 337-207-7707.

* The appoinment line is generously sponsored by Centennial Wireless