Request an Appointment

Fill out the form below and our team will contact you to confirm your appointment at Perry Family Free Clinic.

By submitting this form, you agree to be contacted by our staff to schedule your appointment.

Prefer to call? Reach us at:

(608) 841-1110

Eligibility Information

Perry Family Free Clinic serves uninsured and underinsured Black men in the Madison area. If you're unsure about your eligibility, submit a request anyway—we'll help you figure it out.