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If you choose to pay out of pocket, see below:

Discounted/Sliding Fee Application

It is the policy of TRANSFORMATION HEALTH, LLC to provide essential services regardless of a client’s ability to pay. Our discounts are offered based upon a family's income and size. Please complete the following information below to determine if you or members are eligible for a discount.


The discount will be applied to all services received at this clinic, but not those services which are purchased from outside, including reference laboratory testing, medication, and other such services. Please view the 2020-2021 Federal Poverty Guidelines to see if your income meets the sliding fee scale. In the hope that your financial situation improves, discounts apply only to current appointments scheduled, not future services past three months. This form must be updated every three months for each family member.


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