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Photo ID (State, Student or Passport) Proof of Household Income (1 month's worth of recent paystubs or a wage verification letter) Most Recent Tax Return Letter of Support Welfare Benefit Documents (TANF and Food Stamps) SSI or Social Security Certification Documents Unemployment Documents/Workers Compensation Child Support Proof of Address (utility bill, electric bill, etc) Contact us - Phone: 281-357-0747 455 School St, Suite 30 Tomball, TX 77375 18230 FM 1488 Rd, Suite 203 Magnolia, TX 77354 New Patients must reside in designated parts of Northwest Harris County, Northeastern Waller County & Southwestern Montgomery County; must be uninsured & meet income requirements Providing Care. Offering Hope. Restoring Dignity. For forms & more information visit http://tomagwa.org/patients First Come, First Serve TOMAGWA is a Christian ministry that, by the Grace of God and in response to the Love of Jesus, provides quality health care, offers hope and restores dignity to uninsured, low- income families and individuals in the Tri-County region of Harris, Montgomery and Waller Counties.

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NOW ACCEPTING NEW PATIENTS

Tomball:

7:30am-11:30am every

Tuesday & Friday

Please Bring:

For forms & more information visit http://tomagwa.org/patients

Magnolia:

Starting Sept. 30

2pm-3:30pm Monday,

Wednesday & Thursday

SSI or Social SecurityCertification DocumentsUnemploymentDocuments/WorkersCompensationChild SupportProof of Address (utility bill,electric bill, etc)

455 School St, Suite 30 Tomball, TX 77375

18230 FM 1488 Rd, Suite 203 Magnolia, TX 77354

New Patients must reside in designated parts of Northwest Harris County, Northeastern Waller County & Southwestern Montgomery County;

must be uninsured & meet income requirements

Providing Care. Offering Hope. Restoring Dignity.

For forms & more information visit http://tomagwa.org/patients

First Come, First Serve

TOMAGWA is a Christian ministry that, by the Grace of God and in response to the Love ofJesus, provides quality health care, offers hope and restores dignity to uninsured, low-

income families and individuals in the Tri-County region of Harris, Montgomery and WallerCounties.

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