Please have ALL of the nesecery paperwork


To Qualify:
To be eligible for services at The Free Medical Clinic of Orangeburg and Calhoun

 

Counties:

You must be a resident of Orangeburg or Calhoun County
Have no health insurance, i.e., Medicaid, Medicare, Private Insurance, VA.
You must also meet our Income Eligibility Income Guidelines. (Below 200% Poverty Level)

New Patients must COMPLETE THE INTAKE FORM and come in for an INTERVIEW.

 

PLEASE BRING THE FOLLOWING INFORMATION:
*A current picture I.D.
*Your Social Security Card
*staying with a friend or relative, you need to bring proof of where they live.
*30-day current pay stubs, last 3 bank statements, and 1040 form for ALL *PERSONS OVER THE AGE OF 18.
*Proof of SS, SSI disability, unemployment, Medicare/Medicaid, food stamps, or *proof of denial from any of these.
*Notarized No Income/Support Verification Form from person(s) providing financial assistance.

ALL HOUSEHOLD INCOME MUST BE VERIFIED WITH DOCUMENTATION TO BE CONSIDERED ELIGIBLE.

 

HOURS OF OPERATION
Monday - Thursday 8:30 am to 5:00 pm

 

What Patients Need To Know

After being qualified, the patient will be scheduled for the first available appointment.


Please give 24-hour notice if you are unable to keep your appointment.
You need to bring ALL of your medicines with you to every appointment, including your medicines prescribed by other doctors and over-the-counter remedies, such as Goody Powder.


Your appointment may be rescheduled if you fail to bring ALL if your medicines.
Bring in all recent check stubs every visit (last 30 days).


PATIENTS MUST NOTIFY STAFF IMMEDIATELY WHEN YOU BECOME ELIGIBLE FOR MEDICAID, MEDICARE, COMMERCIAL INSURANCE, OR VA.