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SLIDING SCALE PROGRAM

We offer a Sliding Fee Program based on household income and family size, which reduces the amount you pay for healthcare services.

If you qualify, you may pay only 20 – 80% of the cost for most services. You may be eligible for this program even if you have insurance. Applications are available at the reception desk. All information on the application is kept confidential. 

Federal Poverty Guidelines (FPL) is used for the Sliding Scale Program. We require 2 forms of proof of income. The documents listed below are also acceptable:

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  • W-2 forms

  • Income tax returns

  • Social Security notice

  • Current pay stubs

  • Unemployment award notice

  • Letter from employer

2023 - Sliding Fee Scale
Sliding Scale Application

**PLEASE NOTE: SLIDING SCALE PROGRAM DOES NOT APPLY TO MEDICAL CANNABIS CERTIFICATION OR RECERTIFICATION**

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