How to become a patient at TOMAGWA
Initial requirements for becoming a patient at TOMAGWA:
1
Live in our service area
Zipcodes: 77068, 77069, 77070, 77316, 77354, 77355, 77362, 77363, 77375, 77377, 77379, 77380, 77381, 77388, 77389, 77429, 77447, 77484
2
Have a household income (only includes dependents) of 200% or below poverty level.
3
Complete new patient forms and provide requested information to forms@tomagwa.org
4
Complete a tele-screen eligibility appointment and have medical history available.
Cost
New patient visits are $40.
Contributions are suggested for other services.
Screenings
Patients are screened online now through a tele-screening
Required Forms
Individuals interested in becoming a patient at TOMAGWA must submit the new patient forms prior to a tele-screen