Sliding Fee Scale

About Our Sliding Fee Scale (SFS)

A Sliding Fee Discount Program is available to all individuals. Eligibility for the program is based on family size and annual household income. Income guidelines and acceptable verification for the Sliding Fee Discount Program may be obtained at the front desk.

No one will be denied services based solely on inability to pay

Immigration status is not a factor in order to receive these benefits. Anyone who lives in the United States may apply.

Documentation for Sliding Fee Scale

Income: All household income for the last thirty (30) days for each household member

• Pay stubs
• Retirement/Pension
• Disability award letter
• Self-employment income
• Proof of any other type of income received

Household Size: Identification for all household members

• Picture identification for adults
• Birth certificate, shot record, or recent school report card for minors

Patient Responsibility

• Patient must complete the Sliding Fee Discount Program application
• Re-certify every twelve (12) months providing updated information
• Ryan White Program: Re-certify every six (6) months

Services Covered

• Medical
• Dental
• Pharmacy
• Radiology & Lab
• Behavioral Health & More…

Sliding Fee Scale