1 Please choose the option that best describes you:
*
I do not have insurance
I have Medicaid or am eligible for Medicaid
2 Uninsured - What is Your Income?
*
Less than.............
More than...........
6 Click "yes" if any of these pertain to you: I am registering a child as a new patient. I am pregnant, I am HIV positive or I have been in the emergency room or hospital within the last 30 days.
*
Yes
No
6 WITH IMAGES INSTEAD OF TEXT I am...
8 You May be Eligible for Fast Track Registration
Please call 804-655-2794 to inquire about becoming a new patient. You may not have to go through the full intake process.
3 Do You Need to Enroll in Medicaid?
*
No, I already have Medicaid
Yes, I need to apply for Medicaid or learn more
Other
4 Click Here to Register at CrossOver (???)
9 You are Eligible for CrossOver Care
Unfortunately, we are unable to take new patients at this time. We will update this page when we have more openings. Please consider one of these resources.... (????)
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