AMM Annual Membership Program

New Annual Fees become effective on February 1, 2025.

Alliance Medical Ministry will be transitioning to an annual membership program effective February 1, 2025. It is important to us that we are meeting our patients where they are. The membership program will be based on household size and income. Membership fees will range from $40-$120 per year. Not only will our more equitable system have potential cost savings - AMM Membership will also allow for unlimited office and specialty visits at Alliance.

We will follow our normal enrollment process with the required documentation. To see what documents are required please check out the Enrollment Process below or download the New Patient Packet.

For more information about Federal Poverty Guidelines and New Patient forms choose one of the following downloadable files:

Federal Poverty Guidelines

New Patient Packet

Enrollment Process

You are eligible for our services if ALL OF THE THREE statements are TRUE:

1. YOU live in Wake County.

2. YOU do not have any health insurance coverage (including Medicaid or Medicare).

3. YOU, or someone in my household (who financially supports you such as: a spouse, significant other, parent, sibling, or an adult child) is working and can provide documentable income.

If you answered YES to ALL of the above questions:

1. Review, gather, and complete the REQUIRED ENROLLMENT DOCUMENTS (see below).

2. Return ALL of the materials and completed forms in this packet to Alliance Medical Ministry in person. We CANNOT accept this information by mail, e-mail, or fax.

Required Enrollment Documents

• A photo ID (Driver’s License, VISA, Passport, Consulate ID, etc.)

  • If you have a green card you must bring this!

• New AMM patients must apply for Medicaid and bring in their denial letter

• Current Year FEDERAL INCOME TAX RETURN:

  • FORM 1040EZ, or the first-time pages of FORM 1040 AND

  • If married, attach your spouse’s Tax return AND

  • If self-employed, attach SCHEDULE C

• One month of current consecutive paystubs.  Paystub information is needed from YOU and EVERY household member contributing to household income.

Your employer paid you in cash?

1. Provide a letter from the employer:

2. On company letterhead employer’s name, address, and phone number which states WEEKLY or MONTHLY income

3. With EMPLOYER’S SIGNATURE.

You are self-employed? 

1. Provide a completed INCOME VERIFICATION SHEET or

2. Tax Return, including Schedule C.

You or household member receives disability, social security or pension benefits?

PROVIDE AWARDS LETTER for:

1. Social Security and/or disability benefits.

2. Retirement/Pension benefits