“We love because He first loved us.”​  1 John 4:19

Gross Annual Income

A family or individual must have an income less than or equal to the cap amount listed on the income chart when compared with household size.


Insurance

All individuals or families with no insurance who meet income criteria as listed above will be able to receive care at Unfailing Love Clinic.


Individuals or families with high-deductible insurance who meet income criteria must evaluate their deductible.  High deductibles per individual must be greater than or equal to $1,250 or $2,500 per family to qualify for services.


Request for Donation for Services

All clients are asked for a $10 donation for services received.  

All laboratory fees are an additional cost.

$25,520
$34,480
$43,440
$52,400
$61,360
$70,320
$79,280
$88,240

$12,760
$17,240
$21,720
$26,200
$30,680
$35,160
$39,640
$44,120

family household size

ClienT Qualification

Please fill out the application online (please type in all answers) and submit via one of the options below to become a client at Unfailing Love Clinic.  A staff member will contact you within 2-3 business days to set up an appointment to complete the screening process (Please allow extra contact time if sending application through the post office mail).

 

Submit your application via:

Email

office@unfailingloveclinic.org

 

Mail

1040 S. 11th St.

Decatur, IN 46733

200% of Poverty Level
            Poverty Guidelines

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1.  Completed Application if
     not mailed

2.  Most recent federal tax
     return paperwork or 1
    months recent paystubs.

3.  Photo Identification

4.  Proof of address (recent
     bill, paystub, or bank
     statement-request of 2
     different identifiers).


5.  Copy of Health insurance
     card (if applicable)

What to Bring