In order to receive discounted services, all patients must file an agreement for discounted services (See Below). This form must be filed ANNUALLY in order for discounts to continue. Patients must bring this form along with one of the following documented proof of income (POI).
Types of Proof of Income Documents:
- At Least 2 Pay Stubs from anyone working in the household
- Previous Year Tax Documents
- Notorized letters stating income from all sources
- Notorized document(s) from employers, family members or anyone providing support
If all documentation is not provided at the time of care patients may not be eligible to receive discounted services.
Also, services are not retroactively discounted. All services provided to patients must be paid for in full.