BECOME A PATIENT

Want to become a patient of Loudoun Free Clinic?

Frequently Asked Questions

2026 Income Guidelines

How many people in your family? You can be our patient if you make less than this per year:
1 $47,880
2 $64,920
3 $81,960
4 $99,000
5 $116,040
6 $133,080
7 $150,120

Step 1: Let’s see if you qualify!

  • You are age 19+
  • You have been living in Loudoun County for at least 3 months
  • You do not have health insurance
  • You do not qualify for Medicaid or Medicare
  • You meet our income guidelines

Step 2: Fill out an application:

Fill out an application (English)

Llene su aplicacion aqui (Español)

Step 3: Screening Phone call:

  • After completing your application, our Eligibility Team will contact you within 5 business days to ask follow-up questions and determine your eligibility.
  • In the meantime, we recommend gathering documents that provide proof of income and that
    you live in Loudoun County.
  • Once you meet all eligibility requirements, you will be enrolled as a patient that day. You will
    receive a membership card and schedule your first appointment

Step 4: What to expect in first appointment

  1. We ask that you arrive 15 minutes before your appointment to review and sign your new patient forms.
  2. You will then meet with a provider to discuss any questions or concerns you may have.
  3. After your appointment, you will receive a lab order for your free blood tests.

Step 5: Membership Renewal

Membership typically lasts for 11 months and can be renewed as long as you still meet the requirements.