Registration Information

How to sign up for services

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In order to verify that a patient meets the Community Care Clinic of Dare’s eligibility requirements, the patient must register and provide documentation (listed below).

The patient’s self-declaration of identity, Dare County residency and/or employment, income and resources, unless questionable, is acceptable for the initial visit. The patient will not be seen or assisted again until the required documentation is provided to the clinic. If it is determined that the patient is eligible for services and completes full documentation, a certification of one (1) year will be given. Patient eligibility is subject to review at any time, and it is the responsibility of the patient to inform the Clinic if there is a change in his/her status that could affect eligibility.

Required Documentation for Registration
  • Photo identification
  • Proof of Residency – utility bill, tax bill, lease – something that has your name, street address, and a recent date and proves you reside at that address (rather than simply receiving mail there). If you do not have any of these documents, a third party who is in authority to provide verification of your residency may complete our Residency Declaration Form (copies are available at the Clinic).
  • Proof of Income