The Tappahannock Free Clinic
Citizens who work at being productive deserve access to adequate medical care.
Patient Requirements
OVER 1300 Patients Served
and we rely on your support.
The following items are required to establish your eligibility. If you have any form of health insurance you are not eligible for services.
1. A Picture ID. You must be over 18 years of age to qualify for our services.
2. If you are working, we need your last 4 of your paystubs. We will make copies and return them to you.
3. If you are receiving any income from Unemployment, Disability, Social Security, Spousal or Child Support, we will need the Statement of Income from the agency.
4. If anyone is helping you pay your bills, providing you with food, a place to live and/or cash, you will need to fill out the "Letter of Support".
5. We need last year's income tax return with the w-2 or 1099, Schedule C or K-1 that you submitted with it.
6. Completed clinic eligibility Packet
Screening is done on Mondays and Tuesdays from 3-5PM. Please let us know if you are working during those hours and we will try to make other arrangements.
1. A Picture ID. You must be over 18 years of age to qualify for our services.
2. If you are working, we need your last 4 of your paystubs. We will make copies and return them to you.
3. If you are receiving any income from Unemployment, Disability, Social Security, Spousal or Child Support, we will need the Statement of Income from the agency.
4. If anyone is helping you pay your bills, providing you with food, a place to live and/or cash, you will need to fill out the "Letter of Support".
5. We need last year's income tax return with the w-2 or 1099, Schedule C or K-1 that you submitted with it.
6. Completed clinic eligibility Packet
Screening is done on Mondays and Tuesdays from 3-5PM. Please let us know if you are working during those hours and we will try to make other arrangements.
