Fauquier Free Clinic
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    • 2021 Annual Report
    • 2020 Annual Report
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    • 2017 Annual Report
    • 2016 Annual Report
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    • History
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    • 25th Anniversary Gala Celebration
    • Give Local Piedmont
    • Health News >
      • Five Simple Steps
      • February is Heart Health Month
      • Flu Season is Here
      • Celebrate Men's Health
      • Here comes Tick season
      • Mental Health for the Holidays
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Patient Forms

Prepare for your Visit!


Before you arrive for your appointment or walk-in...
​

1) Please read the ELIGIBILITY page on our website
2) Collect the documents needed for your eligibility screening
3) Fill our our patient forms below to prepare for your visit 

We look forward to serving you! 


Patient Welcome Letter
Patient ROI Form
Notice of Privacy
About Us
2020 Annual Report​

2019 Annual Report
​2018 Annual Report
Staff & Volunteers
Board of Directors
History
Patients
Services
Hours & Location
​Eligibility
Bienvenido!
Get Involved 
Donate
Volunteer
Partner
May News & Events
Give Local
Golf
Rough Ride 
News



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 35 Rock Pointe Lane, Warrenton VA 20186   I  540-347-0394   FAX 540-349-3262
​
The Fauquier Free Clinic is a registered 501(c)(3) Nonprofit organization   I    EIN # 54-1669652
  • Home
  • About Us
    • 2022 Annual Report
    • 2021 Annual Report
    • 2020 Annual Report
    • 2019 Annual Report
    • 2018 Annual Report
    • 2017 Annual Report
    • 2016 Annual Report
    • Staff & Volunteers
    • Board of Directors
    • History
  • Patients
    • Services
    • Telehealth Services
    • Eligibility
    • Patient Forms
    • Medicaid Expansion
    • Hours & Location
  • Bienvenido!
  • Get Involved
    • Donate
    • Volunteer
    • Partner
  • Charity Golf Tournament
  • News & Events
    • Strategic Plan
    • Expanded Care Plan
    • Charity Golf Tournament
    • 25th Anniversary Gala Celebration
    • Give Local Piedmont
    • Health News >
      • Five Simple Steps
      • February is Heart Health Month
      • Flu Season is Here
      • Celebrate Men's Health
      • Here comes Tick season
      • Mental Health for the Holidays
  • Contact Us