Discount Fee Program Application

Discount Fee Program Application

The Sliding Fee Discount Program assures that patients have access to all services (Primary Care, OB-GYN, Dental and/or Behavioral Health) regardless of their ability to pay. At the Center, we provide access to quality healthcare regardless of insurance status. We accept most private insurance, Medicaid, FAMIS, Medicare and offer a discount fee program. Eligibility for the discount fee program is based solely on income under Federal Poverty Level guidelines and family size. We encourage you to apply for our Sliding Fee Discount Program, which provides qualifying patients with significant discounts for health care services. If you wish to apply for the program, please complete and print all of the forms below prior to your appointment.

Go to our Patient Forms & Portal page to download registration forms and for a list of items you should bring to every appointment for a faster check-in experience each time you come to the Center.