Sliding Scale

Applying for the Sliding Fee Discount

How do I apply for the Sliding Fee Discount?

Clients interested in signing up for the discount may complete the Sliding Scale Fee application, which can be obtained from the front desk, provide proof of income, and return to the front desk, staff member or clinician. The client will then meet with the appropriate staff member before their visit with the provider.

The discount program is based on family income. To receive the discount, the patient will need to provide verification of income. Which may include the following:

  • 2 – 3 Paycheck Stubs

  • Letter from Social Security/Disability

  • Copy of Check/Bank Statement to Verify Child Support Payments

  • Other documents may work, so please ask us about specific requirements.

What kind of discount can clients receive?

The discount level is based on the income and number of family members in the household, so please contact us so we can determine the appropriate discount for you.

Victory Counseling does NOT offer free services.  Payment for services is due at the time of service.

For your convenience, we accept cash, checks, and debit/credit cards.

NOTICE TO CLIENTS

This practice serves all patients regardless of ability to pay. Discounts for essential services are offered based on family size and income. For more information about our Sliding Fee Schedule, ask at one of our staff.

Thank you.


AVISO PARA PACIENTES

Esta práctica atiende a todos los pacientes independientemente de su capacidad de pago. Se ofrecen descuentos para servicios esenciales según el tamaño de la familia y los ingresos. Para obtener más información sobre nuestro programa de tarifas móviles, pregunte a uno de nuestro personal.

Gracias.