Our Mission is to improve the overall health of Baldwin County by providing no-charge medical care and health education programs for adults who are without medical insurance.

**** We are not a Walk-in clinic and NOT A DENTAL Clinic. You must complete an application and screening process.****

Patient Application

Thank you for your interest in being a patient at Alabama Free Clinic!

Patients are seen by appointment only; no walk-ins are accepted.

To Become a Patient:

Call the clinic office at (251) 937-8096
Complete a phone screening
Provide requested documents (see below)

To expedite your approval and care, please PRINT the form below, and upload a copy of these required documents:

Photo ID
Social Security Card
Proof of Income
Proof of Residency (lease, utility bill: gas, water, electric bill)

You may click here to print application and mail to:

Alabama Free Clinic

P.O. Box 1284

212 Courthouse Square

Bay Minette, AL 36507

NEW FAX NUMBER: 251-580-3140

When filling out the digital form below, you MUST attach all 4 required documents before the form will Submit***