Becoming a Patient

Rowan County residents may fill out an application online to begin the enrollment process. You will need to print supplementary documents to bring with you to the clinic. Alternatively, you may pick up an application during office hours or print one (below) and bring or mail completed forms to the clinic.

Apply today

The patient must be:

  • Uninsured,
  • a Rowan County Citizen,
  • at least 19 years of age,
  • with an income level not exceeding 300% of the Federal Poverty Level (which is currently $40,770 for an individual or $83,250 for a family of four),
  • and not currently receiving Medicaid, Medicare, or Disability benefits.

Download & Print Application

Print and mail, or bring in, this packet to the clinic. 315G Mocksville Ave, Salisbury, NC 28144