As a Federally Qualified Health Center (FQHC), Katahdin Valley Health Center (KVHC) provides a sliding fee discount for all services to patients who meet the eligibility guidelines. Sliding fee discounts are determined according to household size and yearly income, regardless of health insurance status. This program allows patients to pay a set co-pay of $10, $20, $35, $45, or $50 per medical visit or a certain percentage on their bill at our dental offices if they qualify.
Please fill out either the application form for our Sliding Fee Discount Program, or the Refusal Form if you feel you will not be eligible for the Sliding Fee or do not wish to take advantage of the discount.
Sliding Fee Discount Application
OR
Sliding Fee Discount Refusal Form
Please upload your financial documents to support your application here:
Sliding Fee Document Upload Form
Let us know what you think! Please tell us about your recent visit to KVHC.
Please do not ask health care questions on this form. If you have an emergency, please call 911.