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Discounted/Sliding Fee Application
It is the policy of Virginia Beach Coaching and Counseling (BCC) to provide services at a
discounted or sliding scale fee to avoid contributing to a financial burden
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How to fill out discountedsliding fee application
How to fill out discountedsliding fee application
01
Step 1: Obtain a discounted sliding fee application form from the organization or healthcare facility providing the services.
02
Step 2: Read the instructions on the application form carefully.
03
Step 3: Provide the required personal information such as name, address, phone number, and date of birth.
04
Step 4: Provide information about your household size, including the number of dependents, if applicable.
05
Step 5: Provide information about your household income, including any sources of income and expenses.
06
Step 6: Attach any required supporting documents, such as proof of income or residency.
07
Step 7: Review the completed application form to ensure all information is accurate and complete.
08
Step 8: Sign and date the application form.
09
Step 9: Submit the completed application form to the organization or healthcare facility as specified on the form.
10
Step 10: Follow up with the organization or healthcare facility to inquire about the status of your application.
Who needs discountedsliding fee application?
01
Discounted sliding fee applications are typically needed by individuals or families who cannot afford to pay the full cost of healthcare services.
02
This may include low-income individuals, uninsured individuals, or those facing financial hardship.
03
Each organization or healthcare facility may have specific eligibility criteria, so it is best to contact them directly to determine if you qualify for a discounted sliding fee application.
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What is discountedsliding fee application?
Discounted sliding fee application is a form used to apply for reduced fees for services based on financial need.
Who is required to file discountedsliding fee application?
Individuals with financial need who are seeking reduced fees for services are required to file a discounted sliding fee application.
How to fill out discountedsliding fee application?
To fill out a discounted sliding fee application, individuals must provide information about their income, expenses, and household size.
What is the purpose of discountedsliding fee application?
The purpose of discounted sliding fee application is to ensure that individuals with financial need have access to services at a reduced cost.
What information must be reported on discountedsliding fee application?
Information such as income, expenses, and household size must be reported on a discounted sliding fee application.
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