The Sliding Scale Program

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We offer the Sliding Fee Discount to all income-eligible uninsured or underinsured patients, based on annual household income, for most services. While fees for eligible patients are reduced, a nominal fee for services will be the patient’s responsibility. Payment is expected at the time of service and flexible payment schedules are available.

 

Income guidelines and acceptable verification for the Sliding Fee Discount are listed below.

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How do I qualify?

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To qualify for the Sliding Fee Discount, you MUST show proof of gross annual income for all immediate family members living in your household. Gross income is ALL income from ALL sources before taxes. Applicants should provide a copy of any of the accepted income verification materials listed below.

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Acceptable Income Verification

 

•  Recent Federal Tax Return 

•  IRS Form W-2 or 1099 

•  Two (2) Current Pay Stubs 
   

Our desk personnel can assist you in applying, or you may apply directly by calling us during business hours. Also, you can ask for an application the next time you visit our clinic.