Community Health Service Agency, Inc.

Notice to Patients Regarding CHSA’s Sliding Fee Discount Program

 

CHSA provides a Sliding Fee Discount Program to all eligible patients. Eligibility is based on income and family size only.

 

You may be eligible for CHSA’s Sliding Fee Discount Program. Please inquire with the reception/front desk staff for additional information and an application form. CHSA provides services to all patients regardless of inability to pay.

 

Aviso a los Pacientes con Respecto al CHSA Programa de Descuento de Tarifas

 

CHSA proporciona un programa de tarifas de descuento a todos los pacientes elegibles. La elegibilidad se basa en ingresos económicos y tamaño de la familia.

 

Usted puede ser elegible para el programa de descuento de tarifas de CHSA. Consulte con el personal de recepción para información adicional y por el formulario de solicitud. CHSA proporciona servicios a todos los pacientes, independientemente de la incapacidad de pagar.

Community Health Service Agency, Inc. | Notice of Privacy Practices | Language Assistance Services

Community Health Service Agency, Inc. sites are Federal Tort Claims Act (FTCA) deemed facilities. Community Health Service Agency, Inc. is a Health Center Program grantee under 42 U.S.C. 254b, and a deemed Public Health Service employee under 42 U.S.C. 233(g)-(n).

© Community Health Service Agency Incorporated. All rights reserved.