Become a Patient

Are you ready to become a patient?

Become a Patient

At the moment, there are some limitations in place for qualifying new patients. If you submitted an inquiry via our website, or left a voicemail for a return call, we will be contacting you as soon as we are able to begin the qualifying process again.

If you would like to submit an inquiry below for when we resume qualifying, please be sure to note if you would like to become a patient of our Downtown Clinic located at 41 East Duval St., Jacksonville, FL 32202 or our West Jacksonville Clinic located at 5927 Old Timuquana Rd., Jacksonville, FL 32210.

If you are unable to complete the online form below, you may also call 904-399-2766, press extension 126 and leave your full name, which clinic you would like to be referred to (West Jax or Downtown Jacksonville) and daytime phone number for a call back.


Due to the COVID-19/Coronavirus Pandemic and our concern for its impact on our community, we have amended some of our qualifying requirements.  Please review below to determine if you might be eligible to become a Volunteers in Medicine (VIM) patient:

Are you an adult between the age of 18-64 (we do not see children, reach out to KidCare for health insurance coverage for children)?

Do you or your spouse/partner work at least 20 hours per week?

Were you or your spouse/partner working at least 20 hours per week in January and February prior to COVID-19/Coronavirus?

You do not have health insurance?

Your household gross (before tax) income falls in the range below or

Your household gross (before tax) income fell in the range below for the months of January and February prior to COVID-19/Coronavirus:

Volunteers in Medicine 2020 Patient Qualifying  Guidelines

Persons in family/ household Qualifying Minimum
Qualifying Maximum
1 $13,000 $31,900
2 $13,000 $43,100
3 $13,000 $54,300
4 $13,000 $65,500
5 $13,000 $76,700
6 $13,000 $87,900
7 $13,000 $99,100