Requirements for Medical Care at our Clinic
Income must be 250% below federal poverty level.
FAMILY SIZE |
GROSS MONTHLY INCOME |
|---|---|
| 1 | $3092 |
| 2 | $4354 |
| 3 | $5250 |
| 4 | $6329 |
| 5 | $7408 |
| 6 | $8488 |
| 7 | $9567 |
| 8 | $11,650 |
If you do not qualify for Medicaid or Insurance through the Affordable Care Act and your income is below 250% of the Federal Poverty Line*:
Call this number: 440-277-6641
or
Free Clinic Offices By Appointment:
Elyria
Family Planning Services, 602 Leona Street, Elyria, Ohio 44035
Lorain
Lorain County Free Clinic, 5040 Oberlin Avenue, Lorain, OH 44053
*If you do not meet the requirements above and still need medical care, please click on the button below to download the form. Please fill it out and return it to our address below.
Download Patient Application Form
And send form to:
Lorain County Free Clinic
5040 Oberlin Avenue
Lorain, OH 44053