SPACE COAST VOLUNTEERS IN MEDICINE
ELIGIBILITY
Our mission is to provide free medical care in a compassionate and
professional manner to the uninsured of Brevard County. We are a free, appointment only,
non-emergency, volunteer staffed, primary care medical/wellness compassionate clinic.
Our main focus of care is diabetes, heart disease, high blood pressure, high cholesterol,
weight control/nutrition, and women gyn conditions. We are limited on other conditions, but accept,
arthritis, asthma, lung disorders, skin disorders, stomach and thyroid problems.
We CANNOT service and are not equipped for:
any emergencies, pregnancy, HIV/AIDS and related diseases treatment or testing, Hepatitis B and C treatment,
chronic pain or narcotic management, sickle cell anemia, non-diabetic neurological issues, urgent surgery,
fractures, major mental health problems, disability assessment, telephone prescriptions or refills (only of SCVIM
clinic issued prescriptions), seizure and epilepsy treatment, specialty care and specialty testing.
To receive free benefits from SCVIM you must:
Be a resident of Brevard County, Florida
At least 18 years of age
Have no heath insurance of any kind
Not receive Medicare, Medicaid or VA benefits
Have an annual household income at or below
the 300% of the federal poverty level.
Please click the links below to find all the eligibility requirements,
annual household income information and verification documents.
If you think you fit the eligibility requirements, and you have on hand the documents for determining financial eligibility, call 321.639.5813 for an appointment for eligibility screening or click on the button below to submit a request for an eligibilty appointment. If you are fully qualified, you will be given a clinic appointment at the qualification visit.
If you would like to complete a patient information form containing most of the information that you'll be asked during the eligibility appointment, please click the link below to download the appropriate form. Once completed, you can FAX it to us at (321) 637-7312 or mail it to us at SCVIM, 2555 Judge Fran Jamieson Way, Viera, FL 32940
IMPORTANT NOTE:
IF YOU ARE RECEIVING SUPPORT & FINANCIAL ASSISTANCE FROM OTHERS YOU MUST COMPLETE THE FOLLOWING FORM. BRING THIS FORM, COMPLETELY FILLED OUT, TO YOUR ELIGIBILITY DETERMINATION APPOINTMENT.