b'Welcome to Care ResourceSliding Fee Discount ProgramIf you do not have insurance or have high out-of-pocket costs, a discounted fee for services is available based on your income. The sliding fee discount program is available for all of our services. Eligible patients are assigned a discount level based on their family income and household size which is calculated using federal guidelines. To qualify, your total household income must fall at or below 200% of the Federal Care Resources standard charge. Just ask the front desk for the application form, and turn it in along with your proof of income. To continue to be eligible, you must submit an updated proof of income on an annual basis. Acceptable proof of income includes, but is not limited to: One month of consecutive pay stubs or letter of salary1040 tax formsUnemployment letterSocial Security award letterSupport letter, also known as a veri\x1fcation of no incomeaccepted documents. We want to make sure you understand all the costs you may incur. If you are confused about your insurance coverage, and the costs associated with your visit, please ask us!37'