Patient Resources
Sliding Fee Scale Discount Program
Central Florida Health Care offers a Sliding Fee Scale Discount Program to help eligible patients access care at reduced cost. Discounts are based on household size and income.
Privacy note: Please do not enter personal health information (PHI) into forms on this page.
Who may qualify
You may qualify for discounted services if your household income is at or below the program guidelines and you provide the required documentation.
Required documents
- Proof of income (recent pay stubs, tax return, or benefit letter)
- Photo ID
- Proof of address
- Household size verification (as applicable)
Good to know
- Discounts apply to eligible services at CFHC locations.
- Eligibility must be renewed periodically.
- Some services may require referral or additional approval.
How to apply
- Download the Sliding Fee application below.
- Complete the form and gather the required documents.
- Submit your application (in person or as directed by CFHC staff).
- Receive your eligibility determination and discount level.
Downloads
PDF
Sliding Fee Application (English)
Updated application
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PDF
Solicitud (Español)
Aplicación en Español
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Need help? Call us at 866-234-8534 or visit your nearest CFHC location.