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)

Sliding Fee Application

Sliding Fee Discounts

All Insurances Accepted - No Insurance Required

Sliding Fee Discount

FCHC is here to help!

Acceptable Income Documentation

WE ARE DEEMED A FTCA FACILITY

This health center receives HHS funding and has Federal PHS deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals.”