US Legal Forms
Employment Application for Dental Office

Dental Office Application With Sliding Scale In Washington

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.

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One Community Health offers a Sliding Scale discount based on your household income. All our patients can apply even if you are insured.ICHS has a sliding scale discount to offset costs if you do not have health insurance or if your insurance does not cover all medications or services. Fees are based on a sliding scale (including free treatment) depending on income level. Patients are accepted with or without insurance coverage. An application must be filled out for each adult. Sliding Fee Program Application. We do not offer payment programs or a "sliding fee scale. For uninsured patients, we have a sliding scale based on income. If you don't have insurance, the dental office may offer dental treatment at a sliding-fee scale.

Dental Office Application With Sliding Scale In Washington

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