Financial Hardship

HAPI Medical Center will help you! Please bring the following documentation:

 

• Documentation of one month (30 days) of total income for your household. Bring one of the following:

  • Pay stubs from the past 30 days showing gross income (total income before taxes or deductions) for everyone in your household

  • Award or benefit letter (if receiving income from any other taxable income besides wages, e.g.: interest payments, self-employment, unemployment, etc.)

  • Letter from your employer stating your gross income

  • Last two unemployment check stubs (if receiving unemployment)

  • A letter of support or reference from an organization or individual

• A copy of the most recent year's 1040 tax returns (if you filed taxes)

• Birth and marriage certificates for your dependents (if you did not file taxes)

• Additional documents may be required on a case-by-case basis.