Welcome to St. Hope Foundation


St. Hope Foundation now offers online registration for all services. New patients now have the ability to register, select services and upload all documentation needed to access services here at St. Hope.

If you have any questions or concerns, give us a call at 713.778.1300 or send us an e-mail to info@OfferingHope.Org.

New Patient Registration


To begin the New Patient Registration process, select your language (English or Español) by clicking on the info bar below.

UNINSURED PATIENTS
Items To Bring To Your First Appointment At St. Hope


To determine your eligibility for possible sliding fee discounts and health care programs, St. Hope requests that you bring the following information in order to complete the program registration process.

 

PHOTO ID

Any type of identification with your picture and name
Examples: Driver’s License/State Issued ID, School ID or Work ID)

PROOF OF ADDRESS

Examples: Utility bill (cable bill, cell phone bill, etc.), Voter Registration Card, Copy of lease agreement or piece of postmarked mail

PROOF OF INCOME (dated within the last 30 days)

Proof Of Income documents must show all household income including earned and unearned income within the last 30 Examples: Recent paycheck stubs (dated within the last 30 days) showing the amount paid before any taxes, proof of earned Income - deductions (gross pay) or proof of self employment such as logs/records of earnings or a recent W2.If unable to obtain a paycheck stub or if paid in cash or by personal check before tax deduction, a letter from your employer is acceptable, including date, amount paid, pay frequency and contact information.

Examples: Social Security statement, Child Support statement, Retiree/ Pension/Financial Aid statement, Proof of Unearned Income or Unemployment benefits statement

IF YOU ARE CURRENTLY UNEMPLOYED

If you are currently unemployed and have not received income within the past 30 days, then we will accept a letter of support from the person who is helping you meet your financial needs. The letter should include:

  • Date
  • The type of assistance you are receiving. If monetary value is given (cash on hand), it must be listed on the letter. Contact information and signature of the person providing you with the assistance. The letter can also be from an organization, church or agency that is assisting you
  • Savings/Checking account statement(s) will only be accepted if all of the following criteria are met:
    You are currently unemployed and have not received any income within the past 30 days, No one is helping you meet your financial needs, You are living off of the money in your bank account, Most recent year’s tax return will only be accepted, if you are unable to provide any of the documents listed above.
2016 POVERTY GUIDELINES

The 2016 Poverty Guidelines, used to determine financial eligibility, have been posted by the U.S. Department of Health & Human Services (https://aspe.hhs.gov/poverty-guidelines).

The poverty level for a family of four has increased from $24,250 to $24,300. The entire chart is shown below. CPCDMS has now been updated to reflect these changes

INSURED PATIENTS
Items To Bring To Your First Appointment At St. Hope


To determine your eligibility for possible sliding fee discounts and health care programs, St. Hope requests that you bring the following information in order to complete the program registration process:

 

PHOTO ID

Any type of identification with your picture and name
Examples: Driver’s License/State Issued ID, School ID or Work ID)

PROOF OF INSURANCE

Copy of your current insurance card