How to Apply

You may qualify and apply for Access Now if all the following are true:

  • You are a patient at a participating free and low income clinic and have been told to apply

  • You have no health insurance including Medicaid or Medicare

  • You meet the income guidelines below (you will be asked for income documentation)

2020 FPL Chart

Step 1: Apply Online

Complete the online application and you will be contacted by Access Now staff once everything is reviewed.

Access Now Application

Step 2: Patient Contract

Click on your language below to complete this form. Your application will not be complete without it.
English
Spanish
Portuguese

Have a question?

If you have questions about the application process, please call Access Now at 804-622-8145 or click here to send us a message through our website.