Thank youfor your interest in Shawnee County Medical Society HealthAccess. HealthAccess is a community partnership to improve access to health care for low-income uninsured residents of Topeka and Shawnee County by combing donated physician care, hospital services, and medication assistance.


  • Live in Shawnee County.
  • Have a family income is 150% or below Federal Poverty Guideline. 
  • Not currently be receiving Medicare, Medicaid, KanCare, or other state/federal medical benefits.
  • Not be covered by other medical insurance.
  • Have a primary care provider in Shawnee County that participates in the HealthAccess program
  • If you do not have a primary care provider, please call the HealthAccess office for assistance


(Download and print documents below or call our office to have an application mailed to you)

  1. New applicants must complete a New Patient Application
  2. Sign all required pages (bottom of pages 2, 3, & 4)
  3. Include last 4 weeks of household income – (paycheck stubs,  unemployment benefits, Social Security or Disability income, etc.)
  4. If you have no income, provide a written letter of support from the person or agency helping you. (parent/friend/family/Let’s Help, Section 8, Topeka Rescue Mission/etc.)


You can submit your application in a number of ways, including:

  • Email to

  • Fax to (785)235-2385

  • Mail to


      PO Box 615

      Topeka, KS 66601

For assistance, please call the HealthAccess office, at (785)235-0996.


If you meet qualifications and are enrolled in the HealthAccess program, you will receive access to most generic prescriptions. There is a 12-month maximum coverage of $1,000 and/or $200 per prescription. A minimal co-pay per prescription will be required.

Applications to Download:


Doctors, area clinics, pharmacists, hospitals and many others are donating their services to help you get well and stay well. They are not being paid for the services provided to you. 

This is not a government program, or other entitlement program. The donated care may end at any time, for any reason. 

HealthAccess does not include; inpatient psychiatric services, OB, emergency room expenses or ambulance services. 

By signing the Patient Responsibilites Form you authorize HealthAccess to verify what you have reported during the application process.

You may also receive some bills, for which you are responsible, should you need services not currently being donated for the HealthAccess program.

All patients are required to renew enrollment every six months. You will recieve a renewal packet in the mail 3-4 weeks prior to the end of your enrollment. You must include proof of income each time that you enroll. There is no cap of time that you can be a patient in the HealthAccess program, as long as you remain eligible.