US Legal Forms
Employment Application for Dental Office

Dental Office Application With Sliding Scale In Miami-Dade

Category:

Employment - Applications

State:

Multi-State

County:

Miami-Dade

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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All patients will need to complete the sliding fee determination worksheet. Phone: 305-351-1316.But if you don't have dental insurance, CHI can help enroll you in a plan or offer a sliding fee payment scale based on your income. Midtown Miami 3510 Biscayne Blvd. If you are uninsured and have a low income, you may qualify for a sliding fee for your medical, dental and pharmaceutical needs. Our Sliding Fee Discount Program is based on an individual or family's ability to pay for care. Sliding fee discounts are based on income and family size. Securing Your Smile in Miami doesn't require a big budget. If you do not have insurance, we charge on a sliding scale based on income.

Dental Office Application With Sliding Scale In Miami-Dade

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