Become a Patient
Become A Patient - Free Medical Clinic, Jacksonville, FL
Your health is so important to us. We are a free clinic for the working uninsured offering primary care and 16 specialties. We focus on the health of the whole person and do it with the help of 250 volunteers a month. We serve over 1,000 of your neighbors a year and we want to be your primary care provider. Everything we do is FREE for you. Yes FREE! Read what others have to say about the care they receive at Volunteers in Medicine. Please fill out the form below and schedule a qualifying appointment. You will need two months of pay stubs to continue. It can be a photo you take on your phone or a .pdf. The video below details how to use this page in more detail.
Video on how to become a patient At Volunteers in Medicine
Volunteers in Medicine | Patient Qualifying Guidelines
Please review the eligibility guidelines below for becoming a patient at Volunteers in Medicine:
Are you an adult between the ages of 18-64? (We do not see children. Reach out to KidCare for health insurance coverage for children. If you think you may qualify for health insurance, you can go to the Get Covered Jax! website. )
Do you or your spouse/partner work at least 20 hours per week?
Are you currently without health insurance?
Does your household’s gross income (before taxes) fall within the range listed below?
| Persons in family/ household |
Qualifying Minimum |
Qualifying Maximum |
||
|---|---|---|---|---|
| 1 | $13,000 | $37,650 | ||
| 2 | $13,000 | $51,100 | ||
| 3 | $13,000 | $64,550 | ||
| 4 | $13,000 | $78,000 | ||
| 5 | $13,000 | $91,450 | ||
| 6 | $13,000 | $104,900 | ||
| 7 | $13,000 | $118,350 | ||
| 8 | $13,000 | $131,800 | ||
To qualify to become a patient at our South San Marco or West Jacksonville Clinic, please fill out the form below.
If you need additional assistance with the form below, please email Qualify@vimjax.org and provide your full name, the clinic to which you would like to be referred (South San Marco or West Jacksonville), and one month of paystubs. (If self employed, please include 3 months of bank statements.)