Patient Information - Registration - Waukesha Free Clinic

Eligibility for Services

We Welcome:
Residents of Waukesha County AND those who work or attend school in Waukesha County (and may reside in another county)

We will ask you about:

- Your household income
- If you have health insurance

Services are free at our clinic. We encourage donations for services, but understand if you are unable to give at this time.

To Make An Appointment, Call Us at 1-262-544-6777

For patients under the age of 18

Parent(s) or guardian(s) need to be present and/or have provided written authorization to the clinic by appointment time.

Please Note: We do not have a volunteer pediatrician to work with, so services for children are very limited.

We do not bill to insurance companies

We are not part of BadgerCare, Medicaid, Medicare, Insurance Marketplace, or other public insurance programs.

Need Help with Transportation?

We may be able to help! Please talk to staff if you have concerns before your next appointment.

Appointments

Please be on time for your appointments at the clinic and at referral providers. If you are unable to keep an appointment with clinic or providers, please notify them at least 24 hours ahead of time. If you need help with transportation, let us know.

Registration

All new patients are screened for financial eligibility at 300% federal poverty guidelines or less. For example, in 2025, for a household of two people, income level should be no more than $63,450 per year or $5287.50 per month before taxes. Please bring documentation of all household members with whom you file joint taxes and/or dependents (not required for roommates or temporary living situations).

*If your household income is more than 300%, come talk to us anyway. We can help!

If you are unsure about whether your household meets these guidelines, visit this link or give us a call at (262) 544-6777

Appointment Guidelines at Waukesha Free Clinic

Please show up for appointments AS SCHEDULED.
Patients who arrive more than 15 minutes late for an appointment cannot be guaranteed an appointment.
Patients have three opportunities for “no show” for an appointment, or do not call to cancel the day before the appointment. After missing three appointments, WFC may terminate services.
Patients who no-show due to an emergency may bring in appropriate documentation to be removed from the no-show list.
Patients are responsible for notifying Waukesha Free Clinic of any change in phone number or contact information.

Registration Guidelines

The following documents are required at your initial appointment:

A photo ID, such as a driver’s license. If your ID does not have a current address, you will need to provide a proof of residence, such as a recent phone or utility bill.
Proof of income, such as the last three pay stubs or last year’s income tax return. If you are not currently employed and have no source of income, please let us know.
Proof that you work or attend school in Waukesha County. You may provide us with a letter from your employer, work I.D., or pay stubs; or, a school I.D. and/or other documentation from your school.

Appointment Guidelines for Referrals to Specialists

Please show up for appointments AS SCHEDULED.
If you cannot keep an appointment, call to re-schedule the day before or follow the policy of the specialist’s office.
Services may be terminated for patients who miss two or more appointments.

New Patients

New patients will fill out and sign a health history, patient rights and responsibilities form, and authorization forms allowing WFC to provide treatment.
Patients receiving routine care with us need to update their records every six months. This is also required if you are seeing a network provider.

Are there any services not provided?

Narcotics or controlled substances.
Emergency medical services.
Payments for hospital or medical bills.