Patient Info

Información del Paciente

In order to be seen at a CrossOver clinic, you must first complete the eligibility forms and make an appointment at either the Western Henrico or Cowardin Avenue location to undergo a screening appointment. Patients must be at or below 200% of the federal poverty guideline and have no form of insurance (private, Medicare or Medicaid.)

Please review the "Income Guidelines for Patients" section which provides the income limits as well as the required financial documentation.  Download and complete the eligibility packet and call either the Western Henrico Clinic (804.622.0803) or Cowardin Avenue Clinic (804.233.5016) to schedule a screening appointment.

Patient Eligibility Forms  
(Formularios de Eligbilidad para el Paciente)

Download patient eligibility forms in English.

Baje los formularios de elegibilidad para el paciente en Español.
 


New Patient Policies
Pólizas para Nuevos Pacientes

Read Income Guidelines for Patients, view Glossary terms and more.

Lea Las Guías de Ingresos para Pacientes, mire el Glosario de términos y más.

Cross Over Health Care Ministry
8600 Quioccasin Road, Suite 102
Richmond, VA 23229
Phone: (804) 422-2600
Fax: (804) 422-2604

Email: info@crossoverministry.org