We are a free clinic, serving 100% uninsured
and underinsured patients with free healthcare.

Programs & Services

Vecinos is a free clinic, serving 100% uninsured and underinsured patients with free primary and behavioral health care. 

Vecinos was started by the Jackson County Health Department in 2001 to meet the health needs of migrant farmworkers, nearly all of whom are Latinx. In 2004, Vecinos was incorporated as an independent 501(c)(3) to carry that mission forward. In 2021, in recognition of a broader need and having grown substantially to meet most farmworker needs at 35 migrant camps, Vecinos broadened its focus to serve all uninsured adults with incomes at or below 200% of poverty level in six counties (Cherokee, Clay, Graham, Jackson, Macon, and Swain). Vecinos is a primary care safety net provider and medical home for indigent patients, with mobile and outpatient clinics and telehealth services providing bilingual integrated preventive, primary, behavioral health, pharmacy, and wraparound services to address social determinants of health. Vecinos has MD, DO, NP, RN, CMA, LCSW, and LCAS providers working at hours that accommodate patients’ work schedules.

Vecinos mobile and outpatient clinics, and the teams that operate them, work collaboratively to deliver patient-centered primary, preventive, and behavioral health care to uninsured adults.

The Integrated Care team is comprised of the Clinical and the Behavioral Health teams. Services include:

  • Clinic: Twice-weekly out-patient clinics where patients receive all primary care and behavioral healthcare services. If you can receive it at your primary care doctor or behavioral health specialist, Vecinos probably also offers it — and in Spanish!
  • Pharmacy: A limited licensed pharmacy provides prescription and over-the-counter medications with a strong focus on chronic disease management.
  • Diagnostic Lab: Patients are able to have labs drawn immediately in the clinic, with immediate results available for some tests.

The Outreach team is comprised of certified Community Health Workers who augment and complement the clinical services offered. Services include:

  • Mobile Clinics: Twice-weekly mobile clinics serve patients in their home and community settings. The primary focus of the mobile clinics is migrant farmworkers, breaking down the many barriers to accessing healthcare that migrant workers face. Mobile clinics are a replication of the out-patient clinic services, with full integrated care, pharmacy, and lab services.
  • Care Plans: Community Health Workers certified in the Stanford University Living Health with Chronic Diseases curriculum accept referrals from Vecinos’ providers to conduct home visits and create individualized care plans with patients living with uncontrolled diabetes and hypertension. They also conduct regular support groups focused on culturally aligned nutrition and fitness.
  • Social Assistance: Vecinos is one of just a few organizations in the region that offers Spanish-language services and, furthermore, a fully bilingual staff. Patients often come to us with needs beyond the normal scope of a health clinic. The Outreach Team helps patients find resources and make connections for all social needs identified, from food insecurity to winter clothing.
3971 Little Savannah Road, 173 HHS Building, WCU, Cullowhee, NC 28723 | Tel: 828.293.2274 | Fax: 828.293.2270 | [email protected]
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