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Sliding Fee Discount Program

Patient Resources

Our mission is to make healthcare accessible and affordable

Creek Valley Health Clinic offers discounts designed to make health care services available to families who are eligible based only on family size and household income. Our HealthShare Program is available to all patients, regardless of income or insurance status.

In order to apply for this program, an application must be completed and given to our front-desk representatives. You may view, or print the enrollment application from the link below.

Please bring income verification on your first appointment. This can be any of the following: 

  • Pay stub (most current)
  • Signed note from current employer itemizing client’s income before taxes
  • W-2 forms
  • Income tax return (most recent filing year)
  • 1099 forms
  • Social Security/ Veteran’s Administration/ Railroad Retirement benefits letter
  • Unemployment documentation
  • Bank statements
  • Self-Declaration (must present additional income verification within 30 days)

We also have highly-qualified professionals that can review your situation and provide you assistance and guidance with insurance questions. Click the link below for more information.