Dental Office Application With Sliding Scale In New York
Category:
State:
Multi-State
Control #:
US-00413-1
Format:
Word;
Rich Text
Instant download
Description
This form is an Employment Application. The form provides that applications are considered without regard to race, color, religion, or veteran status.
Free preview
Form popularity
More info
The sliding fee scale program is available to uninsured patients who are unable to pay for medically necessary services at certain Northwell Health clinics. The Sliding-Fee Discount Program is based on an individual's income and family size.No one is denied care because of an inability to pay. Sliding Fee Schedule. A sliding fee schedule is a mechanism for discounting fees in accordance with the patient's ability to pay for care. Must make an appointment. Oak Orchard Health offers patients a discount on services based on family size and annual income, known as a sliding fee. Services: Offers a variety of dental services at reduced rates to uninsured patients. East Hill Medical Center offers a sliding fee program that allows us to adjust the charges for medical and dental services for those patients who qualify. First, complete the Sliding Discount Scale Fee Application included with this informational packet.