Don’t have insurance or not enough insurance?
No Medicaid or CHIP?
We can help!
To apply…
download and print the application
call any of our locations to request a mailed copy
stop by any clinic and pick one up
Completed applications, along with all required documentation, may be:
Scanned & emailed to assistance@accessfhs.com
Free scanning apps can be found on the Apple App Store or Google Play Store.
Documents must be in one of the following formats:
.pdf
.jpg
.jpeg
.png
Dropped off at any of our locations
If you already have an appointment scheduled, bring them with you and give to the receptionist at check-in.
A list of required documentation and other program info can be found in the Sliding Fee Application Packet.
Questions?
Call or email us.