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:
- Email them to enroll@lackeyhealthcare.org
- Drop them off at the Clinic during business hours
- Fax them to 757-369-3821 Attn: Eligibility
If you have questions, you can contact the Eligibility Department at 757-886-0608 ext. 253
(Se habla español: ext. 254).
Documents Required
- Photo ID
- Proof of residency such as:
- A current bill or bank statement with recent date
- Current lease agreement
- 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
- Most recent 1040 tax form if taxes were filed
- 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:
