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Sliding Scale Grid - 2009 xls

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The document is an application form for a sliding fee discount program at La Clínica del Cariño for the year 2011. It requires applicants to provide personal and financial information to determine eligibility for discounts based on household income and size. The form includes sections for listing sources of income, self-declared income status, and a sliding scale discount table that outlines potential fee reductions based on family size and income levels.

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