Dental Office Application With Sliding Scale In Riverside
Category:
State:
Multi-State
County:
Riverside
Control #:
US-00413-1
Format:
Word;
Rich Text
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Description
This form is an Employment Application. The form provides that applications are considered without regard to race, color, religion, or veteran status.
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The sliding fee scale program is available to uninsured patients who are unable to pay for medically necessary services at certain Northwell Health clinics. You may be eligible for this program even if you have insurance.The Sliding Fee Discount Program application is available in English and Spanish at checkin at each health center site and on our website. A sliding scale means that your cost is based on your income. You will need to fill out an application. Cabin Creek Health Systems offers a sliding fee discount for uninsured and insured patients who meet income guidelines. Procedures for patients requiring dental implants are provided. Sliding Fee Schedule. A sliding fee schedule is a mechanism for discounting fees in accordance with the patient's ability to pay for care. Preventive care is free if no insurance.