US Legal Forms
Employment Application for Dental Office

Dental Office Application With Sliding Scale In Nevada

Category:

Employment - Applications

State:

Multi-State

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 with answer in Travis

View this form

View Verified complaint form document with answer in Maricopa

View this form

View Verified complaint form document with answer in Phoenix

View this form

View Verified complaint form document with answer in Pima

View this form

View Verified complaint form document with answer in Florida

View this form

Form Rating

4.71

Satisfied(307)

Form popularity

More info

The good news is there are no deductibles or copayments at each visit. How do I apply for CHIP?If you choose to apply for the Sliding Fee Scale, please complete this application in its entirety. The Sliding Fee Discount Program is a federal program that permits Nevada Health Centers to discount normal charges for either a medical or dental visit. Nevada Health Centers accepts Medicaid, Medicare and offers a slidingfee scale for patients without insurance. In order to qualify you will need to meet the following requirements listed below and fill out the sliding scale fee application. In order to qualify you will need to meet the following requirements listed below and fill out the sliding scale fee application. Please note: completing a screening appointment does not guarantee that you will be accepted as a patient.

Dental Office Application With Sliding Scale In Nevada

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