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

Below you will find two applications. Please select the application appropriate for your organization. It will take you anywhere from 40-60 mins to complete. Please read carefully to ensure your correct enrollment.​

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. 

If you wish to review the application before submitting it online at the link above, click here to download the pdf. version. You may also mail your paper application to 
1256 Capitol Drive Suite 700 #210, Pewaukee, WI 53072

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). 
​

If you wish to review the application before submitting it online at the link above, click here to download the pdf. version.

Questions, Comments, Concerns? 

Contact WAFCC's Executive Assistant at Heather.Ule@wafcclinics.org or 440-781-3513 for all inquiries. 

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  • Who we are
    • History & Mission
    • Board and Staff >
      • Board Documents
    • Donate Today
    • Our Partners
    • Contact Us
  • What We Do
    • Advocacy
    • AmeriCorps Programs >
      • Public Service Opportunities
      • VISTA Program
      • Public Health AmeriCorps
      • Current Members
    • Standards Program >
      • Standards of Excellence
      • Seals of Excellence
    • Telehealth
    • Monthly Webinars
  • For Patients
    • Find a Clinic
  • For Members
    • WAFCC/VHCP Enrollment
    • Join Us >
      • Our members
    • Member Log in >
      • Past Webinar Recordings
      • FCC Leaders' Call Information
  • News & Events
    • News
    • Events >
      • 2022 WAFCC on the Road Recap
      • FCC Week 2022
      • 2022 AmeriCorps Week