Frequently asked questions

Don't hesitate to ask us anything!

What is a sliding fee scale?

Our sliding fee scale is a means to provide affordable, low cost primary care services to uninsured and underinsured patients. The scale is based on family size and household income. It is for household who are at or below 250% of the current Federal Poverty guidelines.

Can I complete a sliding fee scale application at the same time of my appointment?

No, we request that you submit an application 1-2 weeks before your appointment to ensure you have the correct financial documentation.

If I qualify, will you provide me with an exact amount for the appointment?

Unfortunately, we are unable to provide an exact cost of the appointment. Many factors determine the cost. We provide a range for the appointment and provide payment plan options.

What documents do I need to send with my application?

Supporting documents may include, but are not limited to:

-paystubs from work (last 3 months)

-W-2 form

-Most recent copy of tax return

-Most current bank statement

-Disability income

-Worker’s compensation

-Retirement benefit statement

-Unemployment determination letter

How do I get a sliding fee scale application?

You can come in to the clinic to receive a hardcopy or email office@dakotachildandfamily.org to request a copy.

Can I make an appointment before I complete the application?

Yes, however, if your application is incomplete you will liable for the entire amount. It is best to submit your application and make an appointment at that time.

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