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Eligibility Checklist Requirements - Legacy Community Health

www.legacycommunityhealth.org

Sep 23, 2019 · If applying for Sliding Scale only, income and family size are the only requirements. Self-declaration is acceptable for Sliding Scale. If you have concerns about providing any of these documents please speak to an Eligibility Specialist. Picture ID Please provide one of the following: •State-issued driver’s license •Foreign ID •School ID

  Requirements, Checklist, Checklist requirements

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