Hi-Desert Family Health Clinics will not deny services to any patient based on their inability to pay. As a Federally Qualified Health Center, we are able to offer a wide range of services through the sliding fee scale.
The sliding fee scale is offered to all patients based on annual income and household size. (Please see the list below for acceptable verification for the sliding fee scale)
If you wish to qualify for the sliding fee scale, you will be required to show proof of gross annual income for all household members.
Acceptable Income Verification
Form - Sp. PDF
The sliding fee scale is offered to all patients based on annual income and household size. (Please see the list below for acceptable verification for the sliding fee scale)
If you wish to qualify for the sliding fee scale, you will be required to show proof of gross annual income for all household members.
Acceptable Income Verification
- Most recent pay stubs (covering 4 weeks or 30 days consecutively). Pay stubs must be dated within 30 days of the application.
- Prior year’s W-2 form(s) or current Federal tax return.
- Company letter (on letterhead) stating earnings and hours (must include a contact name and number)
- Official letters and/or documents from Social Security, EDD, Courts, etc.
Form - Sp. PDF
