Get the free Sliding Fee Application - Harrington Family Health Center
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HARRINGTON FAMILY HEALTH CENTER 50 E. MAIN STREET HARRINGTON, ME 04643 TEL: 4834502 FAX: 4832750 SLIDING FEE APPLICATIONDATE___PROOF OF INCOME MUST ACCOMPANY THIS APPLICATION Please attach a copy
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What is sliding fee application?
Sliding fee application is a form used to determine eligibility for reduced fees based on income.
Who is required to file sliding fee application?
Individuals or families who are seeking financial assistance for services may be required to file a sliding fee application.
How to fill out sliding fee application?
To fill out a sliding fee application, you must provide information about your income, household size, and any other relevant financial information.
What is the purpose of sliding fee application?
The purpose of a sliding fee application is to ensure that individuals and families with limited financial resources are able to access necessary services at a reduced cost.
What information must be reported on sliding fee application?
On a sliding fee application, you must report your income, household size, and any other relevant financial information.
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