Self Pay/Sliding Fee Schedule Discount Program

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You may qualify for our Sliding Fee Schedule Discount Program for your medical services and labs at our clinics.

Family Health Source is a non-profit organization that receives a defined amount of federal funding to supplement the cost of providing medical care to patients who are eligible to participate in the sliding fee schedule discount program. To qualify for reduced rate services known as our Sliding Fee Schedule Discount Program, which is based on income, we need the following; proof of any income (like last 4 pay stubs, unemployment, social security, disability, pensions, etc and/or previous year’s tax return), and photo ID.

Self Pay/Sliding Fee Schedule Discount Program Packet