To become a patient of Grace Clinic, you must first call us at 336.835.1467 for an appointment to become qualified.

Eligibility Requirements

  • Ages 18+
  • Resident of the following counties: Alleghany, Surry, Wilkes, & Yadkin
  • Uninsured or eligible for Medicaid and/or non-supplemental Medicare.
  • Income at or below 200% of Federal Poverty Level.

What to bring:

  • State-issued photo id showing your current address.
  • Social Security Card.
  • Proof of Residence: Utility Bill, Car or Voter Registration, Lease Agreement, Phone Bill, Cable Bill.
  • Medicaid or Medicare card, if applicable.
  • Any other government issued identity cards.
  • A list of everyone in your household- names, ages, and relationship to you.
  • Proof of household income or letter of support.
  • A list of any medications, supplements, or vitamins that you take or have recently taken.
  • Medical records.
  • A list of your health concerns and/or questions.

Accepted Proof of Income Documents:

  • Copy of previous year’s tax return.
  • W-2’s
  • Stubs from paychecks or benefit payments.
  • Award letters for child support, Social Security, unemployment assistance, veteran’s benefits, or Work First.
  • Copies of alimony checks.
  • A description of any help that you receive from other people, ministries, or agencies.