Become a Patient

Are you ready to become a patient?

Become a Patient

On June 1st we will resume qualifying for our Downtown Clinic. If you submitted an inquiry via our website, or left a voicemail for a return call during the suspension period we will be contacting you as soon as possible.

Great news!  We are currently qualifying for our new West Jacksonville Clinic located at 5927 Old Timuquana Rd. Jacksonville, FL 32210.

When you are submitting your new patient inquiry below please be sure to denote if you would like to become a new patient of our Downtown Clinic or our West Jacksonville Clinic.

If you are unable to complete the online form below, you may also call 904-399-2766, press 0, ask to be transferred to 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:

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