Sliding Scale Fee & Application
At Rising Hope Counseling, LLC no one will be denied access to services due to inability to pay; and there is a discounted/sliding fee schedule available based on family size and income. The sliding fee scale applies to patients without health insurance.
Rising Hope Counseling, LLC will base program eligibility on a person’s ability to pay and will not discriminate on the basis of age, gender, race, sexual orientation, creed, religion, disability, or national origin. No one is refused service because of lack of financial means to pay so long as they complete the program requirements and are found eligible in the application process.
Applicants must provide the following: prior two years W-2 or 1099, and will be asked for additional income verification such as the three most recent pay stubs.
As mandated by federal rules governing FQHC’s, to qualify for the sliding fee program patients must:
Complete the Sliding Fee Scale Eligibility Application form (includes information on all household members) Provide the required proof of income for all household members Patients cannot receive the sliding fee discount until they have completed all of the required forms and submitted all of the required documents and have been enrolled.
For more information, contact any of our counselors or staff.