Eligibility

You may be eligible for medical care at the Free Clinic of Culpeper if you:
  • Are uninsured
  • Are over the age of 18
  • Live in Culpeper
  • Have an annual income below 300% of the federal poverty level (please refer to the chart; valid for 2025).
Apply for services

To apply for services, please fill out the online application by clicking the ‘APPLICATION
ENGLISH’ button (or ‘APPLICATION SPANISH’ for Spanish). There are four parts to the application:

  • Eligibility application
  • Eligibility requirements and agreement
  • Medical history
  • Consent agreements and permissions

Those applying for care must provide copies of the most recent tax returns for all family members. Family is defined as persons living together in a household who have a legal responsibility to each other.

New patients often have questions. Please take a look at our Frequently Asked Questions.

Next steps

Once we have received and reviewed your application materials, you will be contacted to schedule your first appointment. If you have any questions about the application process, please feel free to contact us: 540-829-5032.

To support overall health and quality of life for our patients, the Free Clinic may refer patients to counseling, transportation assistance, Culpeper Human Services, literacy training, nutrition counseling, employment training, or other services available from local partner organizations.

HOUSEHOLD SIZE
earning less than

1

$46,950

2

$63,450

3

$79,950

4

$96,450

5

$112,950

6

$129,450

7

$145,950

8

$162,450

9

$178,950

10

$195,450