As a Federally Qualified Health Center, the Pines Access to Care program ensures that all residents have the access to care that they need.
You may qualify for Access to Care. For more information, please contact our Financial Counselors at 207-498-1371or 498-1617, or 800-858-2279, ext. 1371 or 1617; by emailing firstname.lastname@example.org; or by visiting our Billing Office at 24 Sweden St., Caribou, ME. Click for Map/Directions.
Medical Care for Those Who May Qualify for Financial Assistance (Access to Care)
Application for Access to Care
Letter to Patient of Required Documentation
Application Instructions for Access to Care Program
Earning/Housing Verification Form
Access to Care Approval/Denial Letter (Determination of Eligibility)
Final Notice of Overdue Account Form
Sample Missing Information Form