Wisconsin Association of Free & Charitable Clinics
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2022 WAFCC Membership & VHCP Enrollment 

Welcome to the Wisconsin Association of Free and Charitable Clinics (WAFCC) and Volunteer Healthcare Provider (VHCP) Program Applications.

WAFCC and the Wisconsin Department of Health Services VHCP Program have partnered to streamline the application process for WAFCC Members and VHCP Participants. In other words, WAFCC Members and VHCP Participants will now only need to submit one application to apply for either or both programs.

Additionally, this application was created with the help of Second Opinions, a consulting group of medical students at Northwestern University. In addition to registering you for either/both of the above programs, the information you submit populates a valuation tool that will determine the true value of healthcare services provided by FCCs throughout Wisconsin.

Below you will find two applications. Please read the instructions carefully to ensure your correct enrollment. Thank you for your time in completing this process. Please contact WAFCC Executive Assistant, [email protected] if you have any questions or feedback.   

Sincerely, 
Jaime Olson 
WI Primary Care Program Coordinator
Dennis Skrajewski WAFCC Executive Director 
Please note, these applications will take you ~ 45-60 mins to complete. 

1. Free and Charitable Clinic (FCC) Application
​ (WAFCC Membership and/or VHCP Enrollment)

All FCCs must submit this application to become a member of WAFCC and/or to enroll for VHCP coverage. This application allows your clinic the opportunity to join both or op-out of one. 

2. Non FCC Organization Application
(VHCP Enrollment Only)

All Non FCCs must submit this application to enroll for VHCP coverage. Please do not use this application to enroll for coverage if your organization is a FCC (instead use application #1 above). 

Questions, Comments, Concerns? 

Contact WAFCC's Executive Assistant  Heather Ule for all inquiries. 
This project was funded in part by a grant from the Wisconsin Department of Health Services, Primary Care Program. 

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  • Who we are
    • History & Mission
    • Board and Staff >
      • Board Documents
      • Employee Resources
    • Donate Today
    • Our Partners
    • Contact Us
  • What We Do
    • Advocacy
    • AmeriCorps Programs >
      • Public Service Opportunities
      • VISTA Program
      • Public Health AmeriCorps
      • AmeriCorps FAQs
      • Current Members
    • Standards Program >
      • Standards of Excellence
      • Seals of Excellence
    • Telehealth
    • Monthly Webinars
  • For Patients
    • Find a Clinic
  • For Members
    • WAFCC/VHCP Enrollment
    • Membership Benefits
    • Our Members
    • Member Log in >
      • Past Webinar Recordings
      • FCC Leaders' Call Information
  • News & Events
    • News
    • Events >
      • 2024 WAFCC Summit and Celebration
      • 2024 WAFCC on the Road Recap