Sliding Fee Scale Application
Equitas Health offers discounted medical, psychiatry, and counseling services to patients who are uninsured or underinsured and have low income. The amount you pay is based on the federal poverty levels, your income, and number of dependents.
To qualify, please complete the online Equitas Health Sliding Fee Application associated with your Equitas Health Medical Center location, prior to your appointment.
Apply On Paper
You can also ask for a copy of the application at the registration desk of any Equitas Health clinic location, or print a copy here.
A financial counselor will guide you through the process and determine your eligibility. If you have questions about the Sliding Fee Scale, please contact the registration desk of your clinic location:
- Equitas Health – Cincinnati: (513) 815-4475
- Equitas Health – Dayton: (937) 853-3650
- Equitas Health – King-Lincoln: (614) 340-6700
- Equitas Health – Short North: (614) 340-6777