US Legal Forms
Employment Application for Dental Office

Dental Office Application With Sliding Scale In King

Category:

Employment - Applications

State:

Multi-State

County:

King

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.

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The sliding fee scale program is available to uninsured patients who are unable to pay for medically necessary services at certain Northwell Health clinics. Listed below are dental clinics that offer low-cost dental services.If you or your child already has health insurance, please. Sliding Fee Schedule. A sliding fee schedule is a mechanism for discounting fees in accordance with the patient's ability to pay for care. The Sliding Fee Discount lowers the cost of Equitas Health's medical, dental, pharmacy, and counseling services for people at lower income levels. Fees are based on a sliding scale (including free treatment) depending on income level. Patients are accepted with or without insurance coverage. Procedures for patients requiring dental implants are provided. To see if you can get the Sliding Fee Discount, please fill out an application before your appointment.

Dental Office Application With Sliding Scale In King

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