US Legal Forms
Employment Application for Dental Office

Dental Office Application With Sliding Scale In Orange

Category:

Employment - Applications

State:

Multi-State

County:

Orange

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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Patients without health insurance will be charged a sliding scale fee based on their ability to pay. The sliding fee scale program is available to uninsured patients who are unable to pay for medically necessary services at certain Northwell Health clinics.Dental Providers that accept Medicaid. Many places offer a discount or sliding-scale fee. A sliding scale means that your cost is based on your income. Zufall Health is an award-winning medical and dental home with sites in north, west, and central New Jersey. The Sliding-Fee Discount Program is based on an individual's income and family size. No one is denied care because of an inability to pay. The scale can change from year to year, and the scale below should be used as a reference. Sliding scale level will be determined on application submission.

Dental Office Application With Sliding Scale In Orange

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