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WHO MAY RECEIVE SERVICES?
The Free Medical Clinic of Northern Shenandoah
Valley serves residents of Winchester City, Frederick County,
and Clarke County who need medical care but do not have health
insurance and cannot afford to pay for services. The FMC provides
non-emergency primary medical, nursing, dental, and pharmacy services,
as well as health education.
ELIGIBILITY PROCESS
First-time eligibility screenings are every
Monday and Wednesday from 1:30 p.m. to 3:00 p.m. No appointment
is necessary. Thursday evening’s screenings are available
between 5:30 p.m. and 6:30 p.m. Once you are approved you will
be issued a patient eligibility card. Please keep this card with
you and be prepared to show it any time you seek services from
the Free Medical Clinic.
ELIGIBILITY GUIDELINES
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Proof of total household income will be required,
along with other supporting documents. |
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Patients’ household cannot earn more than
150% of the Federal Poverty Income Guidelines. |
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Patients must not have any health insurance,
including Medicaid and Medicare, or insurance that covers
hospitalization, nor be eligible for services through the
Department of Veterans Affairs. |
ELIGIBILITY REQUIREMENTS
You must bring the following in
order to qualify for services:
1. Proof of residency within Winchester City,
Frederick County or Clarke County
2.Current 1040 Federal Income Tax form (if one
was filed) including W-2(s) and 1099
3. Proof of total household income for three
months
Examples of proof of household
income are:
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Pay stubs from current employer for 3 months |
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Food stamp award letter |
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Letter of support from whoever is providing
shelter and food |
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Proof of Social Security (award letter, copy
of a check OR copy of a bank statement showing deposit) |
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Proof of Disability income (award letter, copy
of a check OR copy of a bank statement showing deposit) |
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Proof of Supplement Security Income –
SSI (award letter, copy of a check OR copy of a bank statement
showing deposit) |
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Proof of pension (award letter, copy of check
OR copy of a bank statement showing deposit) |
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Proof of Unemployment (award letter, copy of
check OR copy of bank statement showing deposit) |
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Proof of child support (copy of court order,
canceled check, or receipt) |
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Schedule C tax forms if you are self employed |
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Current bank statements |
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