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Madison Free Clinic

Please note that each patient (including married couples) must submit a separate application. Please print and complete the form and return it to us by email to intake@madisonfreeclinic.org or drop it off at our office.

Questions? Give us a call at 540-948-3667.

MCFC Application

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If you are between the ages of 18-64 and need a 2022 Influenza vaccination, please give us a call at 540-948-3667 to schedule an appointment. This service is free and open to those who live or work in Madison County, regardless of income or insurance status.

Madison Free Clinic