Rowan County residents may download, fill out, and print an application 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 and bring or mail completed forms to the clinic.
REQUIREMENTS
The patient must be:
Uninsured,
a Rowan County Citizen,
at least 19 years of age,
with an income level not exceeding 200% of the Federal Poverty Level (Currently $24,984 for individual and $51,504 for a family of four),
and not currently receiving Medicaid, Medicare, or Disability benefits.
DOWNLOAD APPLICATION PACKET:
Print and mail, or bring in, this packet to the clinic. 315G Mocksville Ave, Salisbury, NC 28144
