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Becoming
a Patient

To qualify to become a patient at Matthew 25
you need to be

  • A resident of Allen County,
  • Age 18 or older
  • Have no medical insurance (including Medicaid), and
  • Be at or below our income requirements.

To become a patient you must make application between 8:30 and 11:00 a.m. weekdays and bring

  1. Photo identification (drivers license, employee ID, etc.).
  2. Proof of residence in Allen County supplied by mail in your name and current Allen Co. address (such as a bill or lease). If person is not a U.S. citizen, you must provide a resident card, Green card, or an Embassy card.
  3. Proof of all household income for one month:
    1. 1 month of continuous paycheck stubs (within the last two months)
      if employed.
    2. Statement of household income (or lack of income) which includes legal spouse and children under 21 (25 if full time student). If other persons living in the home are contributing financially to the household, their contributions must be declared as income.
      If you are of age and living at home or with relatives in their home, or with another person in his or her home, you must bring a letter from the person with whom you are living stating that they are not financially responsible for you and that he/she is providing you free room and board.
    3. Documentation showing your Social Security, Disability, SSI, Unemployment, Pension, Alimony and Child Support
  4. Most recent tax return (if filed).
  5. Proof that you have applied for Unemployment, Medicaid and/or Disability. This can be an application or denial letter from the appropriate agency.
    Veterans are not accepted as patients unless they furnish a letter from the Veterans Administration declaring their ineligibility for VA benefits.
  6. Names and address of all physicians, hospitals, etc. that have treated you in the past year.
  7. The names, dosages and frequency of all medications you are taking.

You must have all the above documents with you at the time
of making application. Applications cannot be processed
without them.