Dental Office Application With Sliding Scale In Travis
Category:
State:
Multi-State
County:
Travis
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. This article is to provide you with the resources to make the right choices, follow the direct path to success, and help you avoid making the wrong turns.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. Yes, you may be eligible for sliding fee. You will need to fill out an application and provide proof of income to be considered for the program. Sliding Fee Schedule. A sliding fee schedule is a mechanism for discounting fees in accordance with the patient's ability to pay for care. Download and fill out your paperwork. Whether it's registration paperwork or a medical records request, find your form here.