What is a Sliding Fee Scale?

A sliding scale fee scale is a structure that can help people get treatment without breaking their budget.

With sliding fee scale, a provider will offer different pricing based on a person’s income level.

 

How can I apply for a Sliding Fee Scale?

To apply for our sliding fee discount, a simple application must be completed and proof of income presented. Example of proof of income can include any combination of the following:

• Most recent 10-40 tax form

• Most recent W-2 form

• Most recent paycheck stub

• Most recent Social Security Statement

• A recent copy of Child Support Statement
   

 Applications can be processed at the time of the visit, if all applicable information is available including proof of income document(s).
 

Where can I get an application for Sliding Fee Scale?

Contact us at our toll-free number of 1-877-350-2385. Or, click on the image below for a copy of the application. Be sure to bring the completed application and proof of income document(s) with you.