For nearly three decades, Raphael Community Free Clinic has stood as a beacon of hope and healing for thousands of hardworking individuals who fall through the cracks of our healthcare system.
We are honored to be recognized as one of the five original clinics that founded the Texas Association of Charitable Clinics. Those five clinics are:
Our clinic owes its existence to the profound vision and tireless dedication of our founders, Sister Marge Novak and Sister Mary Ann Giardina.
In 1995, Sister Marge, a Franciscan Sister and Family Nurse Practitioner, arrived in Kerrville with a dream to establish a medical mission specifically for uninsured and low-income individuals who could not afford vital medical care. Together with co-founder Sister Mary Ann, they brought this vision to life, opening the clinic doors in August 1997 inside a local school gymnasium.
From operating just one evening a week to building our permanent medical home on Water Street, their legacy of deep compassion, faith-driven healing, and community partnership remains the guiding heartbeat of everything we do today.
Jeff Sirianni, AuD, President
Ruth Bauer, Vice President
John Windlinger, Treasurer
Amy Chapman
Sandra Garred, MD
David Peters, MD
Sylvester Ramirez, MD
Lois Shaw
Ernesto Hernandez, MD
John D. Collins
Our dedicated medical team provides personalized care to diagnose and help you control chronic illnesses, minimize complications, and maintain a high quality of life. Through routine monitoring, free medications, and hands-on guidance, we work to protect your long-term health.

We provide free monitors and strips to measure blood sugar levels, free A1C testing, and personalized guidance to help you manage diabetes safely.

Our medical team tracks your blood pressure and creates effective lifestyle plans to protect your heart health.

We offer early screenings and risk assessments to detect other chronic diseases such as asthma, COPD and hepatitis. We then work with our patients to manage and slow down long term effects of their illness.

We assist our patient's application to receive free medication from participating pharmaceutical companies.
Clinic Services Director
Intake Coordinator
Dispensary Volunteer
Volunteer Provider - Podiatry
Business Office Manager
Dispensary Coordinator
PAP Coordinator
Medical Assistant
Family Nurse Practitioner
Dispensary Volunteer
Dispensary Volunteer
Executive Director
Nursing Volunteers
Receptionist