Our goal is to be your partner in healthcare by serving as your medical home.

We are committed to make a personal primary care provider available to you who provides for your healthcare needs and helps to coordinate your care across all settings, including the hospital, clinics, testing facilities, and other places where you receive healthcare.

Eligibility Requirements

No medical insurance

Not eligible for Medicare or Medicaid or Veteran’s Benefits

​Have lived in the US for at least ONE continuous year

Between 139% to 300% of poverty level (US Citizens). Below 138% poverty level qualifies for Medicaid. See chart to left.​

Patients must live in our service area which includes: Newport News (excluding zipcodes: 23607 and 23605) , York County, Williamsburg, Poquoson, and James City County

Apply Online

For new patients that meet the eligibility requirements above, click the "Apply Now" button to start your new patient application today!

Apply in Person

Tuesdays 1-4pm • Wednesday 9am-12noon • Thursday 4-7pm

It is the patients responsibility to have their Lackey Clinic Card renewed by the expiration date.
What to Bring

Questions? Contact...

Amber Martens 
Director of Eligibility and Community Outreach
757-886-0608 (ext 252)
email

  • PHOTO ID, DRIVER’S LICENSE, PASSPORT
  • SOCIAL SECURITY CARD (ITIN if undocumented no documentation is required)
  • PROOF OF RESIDENCE: CURRENT UTILITY BILL OR LEASE AGREEMENT
  • PROOF OF RESIDING IN THE US FOR AT LEAST ONE CONTINUOUS YEAR SUCH AS ONE OF THE ABOVE OR ONE OF THE FOLLOWING: PASSPORT, PAY STUBS, SCHOOL ENROLLMENT, BIRTH CERTIFICATE OF CHILD BORN IN US
  • COPY OF MOST RECENT SIGNED TAX RETURN TRANSCRIPT (1040)
  • IF TAXES WERE NOT FILED A 4506-T WILL BE REQUIRED TO BE SIGNED AT THE CLINIC
  • CURRENT AWARD LETTER FOR SOCIAL SECURITY, DISABILITY, TANF, FOOD STAMPS
  • CURRENT MEDICAID, MEDICARE, DISABILITY DENIAL LETTER (if applied or denied)
  • MOST RECENT PROOF OF INCOME FOR EACH FAMILY MEMBER THAT CONTRIBUTES TO HOUSEHOLD INCOME. (accepted documents shown below)

Accepted Proof of Income Documents

Regular Employment

Pay stubs for ONE month
Statement of ONE month gross earnings from employer (on notarized letterhead).
Note: Must be most current month

Self-Employment

Schedule C included with Tax Transcript (1040)
Notarized copy of Daily Earnings Statement Worksheet.
Note: Daily Earnings Statement Worksheet and Notary available at clinic

Zero Income

Notarized Support Letter from supporter stating financial circumstances of patient. Supporter must provide their current proof of income, current proof of address and a copy of signed tax return (1040).
Note: Support Letters and Notary available at clinic

Unemployment

Unemployment Benefits award letter from Unemployment Commission

Benefits/Assistance

Award letters from any of the following: Social Security, Disability, Retirement/Pension, Food Stamps, TANF, Housing Assistance (HUD).
Note: Must be most current statement

Child Support/Alimony

Copy of court order (if available)