Need Medical Care?

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

*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

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Make your donation to the Lorain County Free Clinic here!

 

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