US Legal Forms
Employment Application for Dental Office

Dental Office Application With Sliding Scale In Hillsborough

Category:

Employment - Applications

State:

Multi-State

County:

Hillsborough

Control #:

US-00413-1

Format:

Instant download

Description

This form is an Employment Application. The form provides that applications are considered without regard to race, color, religion, or veteran status.

View Verified complaint form document formal in Minnesota

View this form

View Verified complaint form document formal in Franklin

View this form

View Verified complaint form document formal in Hennepin

View this form

View Verified complaint form document formal in Virginia

View this form

View Verified complaint form document formal in Salt Lake

View this form

2.1 Stipulated Testimony

View this form

Warranty Deed - Executor's Deed

View this form

Form Rating

4.71

Satisfied(307)

Form popularity

More info

You are encouraged to apply for our sliding scale program. Procedures for patients requiring dental implants are provided.Sliding Fee Schedule. A sliding fee schedule is a mechanism for discounting fees in accordance with the patient's ability to pay for care. This program provides dental services for pregnant and postpartum women, infants and children in Hillsborough County. (Jefferson County). 636-321-0150. Services: Offers a variety of dental services at reduced rates to uninsured patients. If you do not have insurance, we charge on a sliding scale based on income. The sliding fee scale program is available to uninsured patients who are unable to pay for medically necessary services at certain Northwell Health clinics. The Sliding-Fee Discount Program is based on an individual's income and family size.

Dental Office Application With Sliding Scale In Hillsborough

Description

Related forms

Viewed forms

Show more info

Form Rating

Form popularity

More info

Trusted and secure by over 3 million people of the world’s leading companies