Check Eligibility

We provide medical, dental, counseling and spiritual care at no charge to eligible low-income, uninsured, underinsured and underserved adults. We are able to take care of our patients with volunteer health care professionals. We also partner with other health providers and healthcare organizations.

Below are documents that identify the eligibility requirements and the application which is the first of the forms needed to complete your application. We are here to help you complete these forms, and are available in person to assist. Please call 540-854-5922 if any questions.

Eligibility Application Forms

Click to download the documents.

Eligibility Requirements

Eligibility Application Form