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Sliding Scale for Private Pay Patients

If you or members of your household are a private pay patient and have not been able to obtain insurance through your employer or any other means, you may qualify for Sliding Scale pay based on your income. If you qualify for Sliding Scale, you can receive a discount on the cost of your office visit fee that is due upfront at the time of your appointment. The amount discounted is based off your income.

If you believe you might qualify for the Sliding Scale based pay, please click the following link to download our Sliding Scale application, fill it out, and drop it off at any one of our 3 locations.

Sliding Scale Application

This application is in pdf format, you will need software that is able to read pdf's, like Adobe Acrobat Reader (make sure to uncheck the optional software during installation)

Important things to note

You will not get a discount on the cost of your office visit(s) until your application is approved. So feel free to bring your application in at least 5 days before your next visit so we can assist you as soon as possible.

The Sliding Scale discount only applies to your office visit. Any labs, X-rays, or procedures performed will still be billed at the full amount.


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