Central Virginia Health Services (CVHS) is a community-based, non-profit organization that provides high quality primary health care. It operates 18 community health center sites located across central Virginia, serving fifteen counties and four cities. These sites provide family health care and pharmacy services to adults and children. Services include medical, dental, and behavioral health. An in-house pharmacy serves the medication needs of patients. In 2018 CVHS providers cared for 44,074 patients. As a federally qualified health center, CVHS is dedicated to providing affordable and accessible care to medically underserved Virginians, including non-English speaking people. Poverty, geographic isolation, too few primary care or no dental or behavioral health providers characterize these underserved areas. Each community has unique characteristics. Thus, each site was created to meet the particular needs of that community, and services offered vary somewhat from site to site. Our locations serve the residents of Albemarle, Brunswick, Buckingham, Caroline, Charles City, Charlotte, Cumberland, Dinwiddie, Fluvanna, King and Queen, King William, Louisa, Northumberland, Prince Edward, Prince George, Richmond, and Westmoreland counties. City-located centers are in Charlottesville, Fredericksburg, Hopewell, and Petersburg. Without CVHS' rural-located centers, patients in those communities would have to travel an hour or more to receive affordable care. In the case of our six sites located in cities, the community’s safety net population needs far exceed the capacity of the closest free clinics. The majority of patients seen in these sites are uninsured. CVHS accepts all types of health insurance, including Medicaid and Medicare. Uninsured patients are welcome; a sliding fee discount is available to those with incomes under 200% of the Federal Poverty Level. The professional staff are licensed and certified clinicians: primary care and internal medicine physicians, pediatricians, dentists, pharmacists, nurses, nurse practitioners, physician assistants, counselors, dental and pharmacy technicians, and social workers. Our sites provide services such as physicals, chronic disease management, immunizations, and screenings for various diseases. CVHS offers general dentistry, including preventative, restorative, and periodontal care. Behavioral health services are offered for individuals and groups (families and children over 5 years). Affordable medications are available. CVHS employs outreach and enrollment assistants who enroll Virginians who are eligible for the health insurance marketplace or Medicaid. Founded in 1970 by community activists in the medically underserved counties of Buckingham, Cumberland, and Fluvanna, CVHS is Virginia’s first and largest community health center.