Patient Eligibility Requirements

  • 18 years or older
  • Resident of Wake County 
  • No health insurance
  • No Medicaid or Medicare
  • Employed or live with a family member who is employed

How to Become a Patient 

Step 1: If you meet the requirements listed above, download and complete a Patient Eligibility Packet:


Patient Eligibility Packets are also available at Alliance Medical Ministry reception desk.

Step 1a:  If you are self-employed, download and complete an Income Verification Form:

Step 2:  Attend Eligibility Appointment with your completed Patient Eligibility Packet.

An eligibility appointment is required for all NEW patients.  

Walk-in and scheduled appointments with the Eligibility & Care Coordinator are available on: 

  • Tuesdays, 10 am - 12 pm, 1 pm - 3 pm
  • Wednesdays, 10 am - 12 pm, 1 pm - 3 pm
  • Fridays, 10 am - 12 pm, 1 pm - 3 pm 

Walk in during days/hours listed above, or contact the Eligibility & Care Coordinator to make an appointment: (919) 250-3320 ext. 401.

At your first appointment:

  • Arrive 15 minutes before scheduled appointment
  • Bring all current medications
  • Bring co-pay:
    • Payment expected at time of service
    • Average co-pay is $25
    • Cash, personal checks, Mastercard & Visa accepted
  • You will receive your Alliance Patient card, which you must bring with you to all future appointments. 

You're a patient now!

  • All patients are required to sign a Patient Responsibility and Accountability Contract.