757-886-0608 info@lackeyhealthcare.org

Renew Your Lackey Card

Make sure you do not let your card expire. If your card is going to expire in the next 30-60 days, submit your recertification paperwork now. It is the patient’s responsibility to have their Lackey Clinic Card renewed by the expiration date.

If Your Lackey Card Expires:

  • You cannot schedule or attend appointments
  • You cannot refill or pick up medications
  • Appointments are canceled 2 weeks prior if you have not renewed by then

Submit Your Paperwork in One of the Following Ways:

If you have questions, you can contact the Eligibility Department at 757-886-0608 ext. 253
(Se habla español: ext. 254).

Documents Required

  1. Photo ID
  2. Proof of residency such as:
    • A current bill or bank statement with recent date
    • Current lease agreement
  3. Proof of income for everyone in the household (spouses, children, parents or other family members claimed on the taxes):
    • If employed: 1 month worth of recent paystubs
    • If unemployed: Unemployment award letter
    • If no income: notarized letter of support, supporter’s proof of address (if living with supporter), and supporter’s taxes
    • If self-employed/paid in cash (files taxes): Schedule C, notarized daily earnings sheet, notarized employer letter
    • Other proof of income including statements of social security, retirement, SSI, child support, or alimony
  4. Most recent 1040 tax form if taxes were filed
  5. Signed Patient Attestation: click here to complete

Recertification Requirements

  • Your yearly income must be below 300% of the federal poverty level to continue being a Lackey Clinic patient.
  • You must have no medical insurance.
  • You must still live in our service area which includes: Newport News, Williamsburg/James City County, York County, and Poquoson.

Questions? Contact:

Amber Martens
Director of Eligibility and Community Outreach
757-886-0608 ext. 252

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