In order to receive services (or continue receiving services) from HealthNet, patients are required to go through an enrollment interview to determine eligibility.  This occurs every Wednesday from 1:30p until 3:30p.  Patients are interviewed on a first come first served basis and we will see as many individuals as we can.  However, please be aware that you may be asked to come back the following week.  

Please bring the following documents with you to your enrollment appointment!  If you are missing documents, you will NOT be able to enroll/re-enroll and will be asked to return another week!

1)Proof of residence - Driver's License or picture ID

2)Proof of Residence - A piece of mail with your name and address on it.

3)Employment - If employed, bring in 2 current check stubs

4)Employment - If you live with other individuals in the household, please bring in 2 of their current pay stubs

5)Unemployemnt letter showing weekly amount you are receiving

6)Federal Medical Assistance or BadgerCare Denial Letter (must apply at access.wi.gov and print denial letter)

7)Child support letter with amount (if you are receiving child support)

8)Food stamp letter showing amount being received.

9)Rental assistance letter with the amount.

10)Disability/Social Security income: letter or bank statement showing deposit

11)Pension income amount: letter or bank statement

12)Other sources and amounts with verification.

13)2010 & 2011 Taxes (page 1 only of 1040EZ) (Page 1 & 2 of 1040) (Sched. C if self employed, 2 pages). ((2011 taxes will not be due at HealthNet until April 30, 2012))

**Please call HealthNet 608-756-4638 for more information.  

**Please note that services can not be provided until enrollment/yearly re-enrollment has been completed**

Our Services are contingent upon the availablity of our volunteer doctors, nurses, and other volunteer health care specialists. Services are only provided during clinic hours.  

HealthNet relies on the commitment of the community to help us provide primary care to the uninsured and low income individuals of Rock County.
All donations are greatly appreciated and tax deductible. CLICK HERE to find out how to donate.