Sliding Fee Discount

FCHC is here to help!

We pride ourselves in never turning anyone away due to inability to pay for service, and we also have a sliding fee scale for the uninsured. Please print the application and bring it with you to your appointment along with an acceptable form of income documentation.

Acceptable Income Documentation

  • Pay Stubs – 1 month of gross household earnings

  • Unemployment Benefits

  • Workers Compensation Benefits

  • Social Security Benefits – Patient must provide an award letter

  • Child Support

  • Alimony

  • Tax Documents -W2’s, 1099, tax return (adjusted gross income)