Eligibility

Can We Help You

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 see the chart below; valid for 2024).

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

Apply for services

To apply for services, please fill out the online application by clicking one of the links below. There are four parts to the application:

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

Application – English

Application – Spanish

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.

 

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