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  • A LITTLE INFORMATION ON PROJECT ACCESS                                      

    PATC is a breakthrough initiative approved by the Tarrant County Medical Society (TCMS) Board of Directors to provide healthcare access to the uninsured and working poor in Tarrant County.  TCMS has led the charge in the life of PATC, and since September 2011, PATC volunteers have provided Tarrant County’s in need with over $4.2 million in donated healthcare access. 

    Approximately 350 patients have been approved for the program and have had surgical and/or other specialty procedures completed by utilizing the charitable gifts of a network of existing voluntary providers and collaborative partnerships.  PATC’s mission is to expand health care access and improve health outcomes for low-income, uninsured residents of Tarrant County, utilizing the charitable gifts of a network of existing voluntary providers and collaborative partnerships. 





    Target Population

    1. Individuals residing in Tarrant County
    2. Uninsured (including Medicaid, Medicare, CHIP, JPS Connection, or VA Benefits)
    3. Income at or below 200% of Federal Poverty Line (FPL)
    4. Working poor, or the alleviation of a health condition would allow them to work (i.e. vocational impediment)


    Project Access Provides the following services:

      Donated Medical Services (Project Access Tarrant County)

    • Establish medical homes/primary care physician (PCP) for each patient
    • Physician Specialists visits/access
    • Hospital access for operations and procedures
    • Ancillary services: anesthesia, laboratory, pathology, and radiology services


    Care Coordination (In Partnership with Catholic Charities)

    • Case management
    • Navigation services for accessing public benefits
    • Transportation
    • Translation
    • Financial education
    • Pharmacy benefits enrollment 



    Specialties Available for PATC Patients


    Cardiovascular Disease

    Colon & Rectal Surgery







    General Surgery

    Orthopedic Surgery



    Physical Med & Rehab

    Vascular Med & Surgery



    Hand Surgery

    Allergy & Immunology



    Conditions That Cannot Be Addressed

    Chemotherapy & Cancer



    Emergency Medicine

    Serious Psychiatric Issues

    Substance Abuse








    Remember Why You Became a Physician

    The American Medical Association principles of medical ethics states:


    "A physician shall recognize a responsibility to participate in activities contributing to an improved community."


    However, finding viable outlets that serve the community effectively can be difficult.  This is why the concept of PATC is so wonderful:

    •Project Access Tarrant County acknowledges, quantifies, and coordinates physician and health care provider charity care, and spreads that care as equitably as possible.

    •Project Access Tarrant County makes it easier for physicians who are already caring for the uninsured to better manage and coordinate care.

    Physicians can volunteer to see patients in their own practice or can be connected to an area charitable clinic.  Each physician is in control of the number of patients s/he will see in a given year as well.  All commitments are appreciated; no number is too small. 

    Physician Quotes

    Paul Cho, MD, Neurological Surgery

    Dr. Cho feels that “we are only as strong as the people and community that surround us…Project Access is an exemplary means for the physicians of Tarrant County to serve our fellow citizens and to contribute to the health and welfare of all who surround us.”

    Michelle Marcincuk, MD, Otolaryngologist

    “Working with Project Access has been very rewarding.  Over the years, providing charity care to those who need it has always been something that makes me feel good about my work. However, as a surgeon, no matter how much you want to care for uninsured patients, without the cooperation of hospitals, labs, radiology facilities, and other doctors, it has traditionally been a huge challenge to provide surgical care for these patients. Now with Project Access, we have a network of willing individuals and facilities that makes this process easy and seamless. In my experience alone, I have been able to provide comprehensive care that substantially improves patients' quality of life, and, in a few cases, has provided life-saving care for uninsured patients. Multiply that by all the doctors and facilities in this network, and this program has made a monumental contribution to this community. I am proud to be a part of this effort.”

    R. Todd Richwine, DO, Family Medicine & Hospitalist

    “I volunteered to become part of PATC to help patients who otherwise would not have resources available for their health care.  With PATC’s coordination, my first patient referral to PATC is back caring for her family, working toward her degree and a healthy member of Tarrant County.  PATC allowed me to be part of a team of primary care, specialists, hospitals, labs and other health care providers without any of the administrative burden to myself or my staff that would come with trying to do this on our own.  I have provided charity care, but was limited on what I could do without the resources PATC has arranged.”

    D. Luke Shellenberger, MD, Otolaryngologist

    “I thoroughly enjoyed being able to help provide necessary care for a PATC patient.  The patient was extremely pleasant and she was excited and grateful to PATC.  Working with PATC was seamless, and I will be happy to continue to provide my services to those who need it in Tarrant County.  I know that I cannot make a massive change locally or internationally, but to the person that I help, it is massive.”

    Jim Norman, MD, General Surgeon

    “The process was easy especially since PATC had already arranged for the hospital and anesthesia services to be donated to the patient.  Scheduling the hernia case was like scheduling a patient with insurance.  I did not have to coordinate with the hospital and anesthesia to donate their services as PATC had already made those arrangements.”

    If you wish to volunteer with Project Access, please click on the link below.  The volunteer sign up form can be filled out online and will be sent directly to Project Access. 





    If you can’t participate, please donate!






    For further opportunities to give to Project Access Tarrant County, please visit the following pages: 


    ntxgd  amazonsmile charitymotors







    We would like to recognize the organizations responsible for funding PATC, partnering with PATC, and those physician groups whose practices have 100% physician participation.




    Our volunteer physicians and their office staff are the reason that Project Access is able to help the patients who have nowhere else to turn. We recognize them to show how grateful and appreciative we all are of their generosity.








    PATC e-newsletter Thursday, October 15, 2015

    Donor Bridge

    Charity Motors







    Thank you to everyone who supported PATC by attending our Kickoff Event and to those who donated.  


    We exceeded our goal of $10,000 and raised $21,510!




    William Maxwell Jr., MD

    Obstetrics and Gynecology


    Dr. Maxwell was born in very west Texas in the city of El Paso.  He says that his biggest two influences growing up were his parents and a good friend's father, who was an anesthesiologist.  This doctor encouraged Dr. Maxwell to get involved at the local hospital.  He did simple jobs like transportation and really came to enjoy it.  By the time he was a sophomore in high school, Dr. Maxwell knew that he wanted to be a doctor.  He just did not know what kind of doctor yet.  His parents told him to "do the best you can and don't not try something because you are afraid you can't do it."  They did not push him one or the other, which allowed him space to make his own decisions.  As a young man, he also made the decision to seek out a career that would be enjoyable every day.  He says of being an OBGYN that "it is still that way for me.  I get up and I still want to come to work."

    Both Dr. Maxwell and his sister wished to pursue careers in the medical industry so the agreement with his parents was if they lived at home during the summers in college, then they would pay for their post-graduate training.  He enjoyed this arrangement very much while attending The University of Texas at El Paso where he graduated with honors with a degree in Biology and minor in Chemistry.  While applying for medical school, Dr. Maxwell remembers thinking "Oh my gosh, I don't want to be a biology teacher or chemist.  So if I don't get into medical school, I have really messed up!"  Of course, he was accepted.  Dr. Maxwell graduated from The Baylor College of Medicine in 1981 and completed his Internship and Residency in Obstetrics and Gynecology at John Peter Smith Hospital in Fort Worth, Texas.  As soon as he tried out Obstetrics, he knew that he wanted to be an OBGYN.  "It is happy.  You get to bring life into the world."  He has not kept count but estimates that he has brought around 5,000 babies into this world.  

    After residency, Dr. Maxwell decided to stay in Fort Worth.  "I feel I owe the community something because they educated me and were nice to me.  It has been a great place to live."  

    I asked Dr. Maxwell why he decided to volunteer with Project Access.  "I was a delegate for the TMA and involved with TCMS.  So when the opportunity arose, I thought it would be a good chance to do some volunteer work."  

    The next question I like to ask our volunteers, what would they say to a doctor who is thinking about volunteering for Project Access?  "Because Dr. Maxwell does it and he says it's no big deal," he says with a joking laugh.  "It's an opportunity to volunteer in your community.  It isn't a burden at all.  I have been doing this for several years and have seen only ten patients.  That isn't a whole lot.  It is easy to work with you guys. They system works and you just show up like it is a regular patient.  You do all the same things.  It's just not hard."

    Thank you Dr. Maxwell for loving our community well!





    44 year old male with Hand Cyst


    "I moved to the United States from Mexico City 14 years ago and have been working in construction.  I have a wife of 18 years and two children, ages 17 and 14 years old.  While working, I had an accident where the drill pierced the index finger of my left hand.  The cyst began to form as my finger healed.  I never went to the emergency room though.  For several years, I left my finger untreated but it started to become very painful.  My wife finally convinced me to go to the Northside Clinic where I was told I would need surgery to remove the cyst.  Money was an obstacle; we did not have the financial means to proceed with surgery and we did not have health insurance.  On a scale of one to ten, the pain level of my finger was constantly a six.  The rest of my hand became numb.  Aesthetically, my finger looked ugly.  Northside Clinic eventually referred me to Project Access where I was connected to a specialist, Thomas Kleuser, MD, an orthopedic surgeon here in Fort Worth and also a volunteer physician with Project Access.  He was very nice and attentive.  He made me feel comfortable, especially when he made the effort to speak Spanish.  Dr. Kleuser's staff, as well as the Baylor All Saints, were very nice and attentive.  After the surgery, I had two follow up visits with Dr. Kleuser.  The first visited consisted of him checking for infections.  The second visit, they took the stitches out.  Since the surgery, I no longer have pain, nor do I have problems tightening my fist.  My anxiety and worry are gone because I can work again.  I want to thank Project Access, Dr. Kleuser and staff, and Baylor All Saints for helping me." 


    (Photo above of hand cyst of the hand found on, Plano Othropedic Sports Medicine & Spine Center, P.A.)


    See PATC patients' stories on our YouTube Channel by clicking here!

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    PATC / Tarrant County Academy of Medicine | 555 Hemphill St. | Fort Worth, TX 76104 |
    Phone: (817) 632-7531 | Fax: (817) 632-7532 | Email:







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