Registration

To register as a medical patient with Samaritan Health Center, you will need to provide us with the following information:

1. ONE proof of identification, such as:
   • Driver's license or NC ID of any kind
   • Consular document
   • FAITH ID

2. Proof of income for entire household (must be under 300% of the Federal Poverty Guidelines):
   ONE month of income proof for each person earning money in household: paystubs, unemployment, Social Security, or any other income. Please provide a letter of support if someone outside the household is providing for daily expenses. Please provide paystubs for most recent month. If you are paid in cash, please provide a signed, dated letter from your employer describing your work and monthly pay.

3. Any health clinics where you have been seen in the last year (including Lincoln, Walltown, Holton, Lyon Park, Healthcare for the Homeless, VA, or any doctor’s office)

4. Only proof of limited or minimum essential medical insurance (such as Family Planning Medicaid) is accepted. If you have full medical insurance, please contact a clinic that accepts your coverage. If your proof of income and residency indicates Medicaid eligibility, we require applying for Medicaid before proceeding with registration in our clinic.

When you have gathered this information, you can either fill out our New Patient Referral Form or call our New Patient Line at 919-407-8154. Leave your name, date of birth, and a working telephone number that accepts messages. We will leave you ONE message to schedule an intake appointment.

At your intake appointment, we will review your paperwork, verify eligibility, and sign new patient forms. Patient eligibility is renewed annually and requires updated information.

APPLY TODAY