US Legal Forms
Employment Application for Dental Office

Dental Office Application With Sliding Scale In Mecklenburg

Category:

Employment - Applications

State:

Multi-State

County:

Mecklenburg

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 Complaint for foreclosure in Contra Costa

View this form

View Complaint for foreclosure in Sacramento

View this form

View Complaint for foreclosure in Illinois

View this form

View Complaint for foreclosure in Cook

View this form

View Complaint for foreclosure in San Jose

View this form

Form Rating

4.71

Satisfied(307)

Form popularity

More info

To be eligible for the sliding fee scale discount, you must fill out the application on the website and provide the required documents. Sliding Fee Scale Discount (SFSD) Program aids patients in covering the cost of office visits, lab work and procedures completed in our office.Many of these clinics also provide services on a sliding-fee scale to low-income patients who have no dental insurance. The Children's Dentistry Program accepts Medicaid, and offers a sliding scale fee to uninsured low-income families who do not qualify for Medicaid. Office visits for residents meeting income and eligibility requirements are on sliding scale. Dental hygiene and treatment (except orthodontics and endodontics) for children up to age 15. Accepts Medicaid, insurance, and has a sliding fee scale. Meck-.

Dental Office Application With Sliding Scale In Mecklenburg

Description

Related forms

Show more info

Form Rating

Form popularity

More info

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