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Click ‘Get Form’ to open the Azalea Health Sliding Fee Application in the editor.
Begin by entering your Patient Name and Date at the top of the form. This personal information is essential for processing your application.
Indicate whether you would like to apply for the sliding fee by checking 'Yes' or 'No'.
Fill in your Household Size, specifying the number of adults and children living with you. This helps determine your eligibility.
List all individuals in your household under the provided sections, ensuring accurate representation of those pooling resources.
Gather and upload required documentation such as pay stubs, proof of residency, and identity verification directly through our platform for a seamless experience.
Complete the income certification section by entering your total monthly and yearly household income.
Sign and date the form to certify that all information provided is true and complete before submitting it through our platform.
Start filling out your Azalea Health Sliding Fee Application online for free today!
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A sliding fee scale for health care is a way to adjust the cost of medical services based on a persons income. Its essentially a discount system that changes the amount you pay depending on how much money you earn. If you earn less money, youll pay less for medical services. If you earn more, youll pay a bit more.
What services are offered by AZA health Interlachen?
The center provide minor surgical services, medication management, lab testing, electrocardiograms, pulmonary function testing, health education, case management and referral, diagnosis and treatment of illnesses and minor injuries, preventive services and screenings, annual visits, chronic disease management, women!
What is the meaning of sliding scale approach?
a system in which the rate at which something is paid changes as a result of other conditions: Charges are made on a sliding scale, which means that the amount you must pay increases with the level of your income.
What is sliding scale in nursing?
This type of prescription is called a SLIDING SCALE because the amount of insulin to be administered changes or slides up or down based on the persons blood sugar.
What is an example of a sliding scale duty?
The income tax, for example, is levied on a sliding scale, with the rich paying a higher percentage than the poor.
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Aza Health. (386) 323-9600. 1455 Dunn Ave #1425 and #1455. Daytona Beach, FL 32114 Sliding fee scale available for qualifying patients. Mon-Fri 8am-5pm.
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