Sliding Fee Discount Info

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

  • 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.

To begin the sliding fee application process, simply download the Application Form and take it with you to your next scheduled visit along with one form of income verification as listed above.

Form - English. PDF
Form - Spanish. PDF