About This Clinic
This is a SLIDING SCALE clinic. The costs for clinic services are based on either your income or they offer type of financial assistance. Contact the clinic directly to discuss prices for individual services which vary. Sliding Scale does not necessarily mean free.
Dental
Monday-Thursday: 8AM-7PM
Friday: 8AM-5PM
UCFS can assist you in meeting your financial obligation in the following ways:
Sliding fee scale: UCFS offers a sliding fee program for clients who are uninsured or underinsured and whose income is below 200% of the federal poverty level. UCFS’ sliding fee scale is based upon a client’s family size and household income. Clients who do not provide income information are responsible for services at UCFS’ standard rate. Patients must provide the following information when applying for a sliding fee scale:
Two (2) most recent pay stubs from employer, unemployment and or alimony checks.
A letter from employer, on company letterhead, disclosing income (if no pay stubs available).
Proof of Social Security income.
Federal income tax return from previous year
2022 US Federal Poverty Guidelines
for the 48 contiguous states and the District of Columbia
| Persons in family / household | Poverty guideline |
|---|---|
| 1 | $13,590 |
| 2 | $18,310 |
| 3 | $23,030 |
| 4 | $27,750 |
| 5 | $32,470 |
| 6 | $37,190 |
| 7 | $41,910 |
| 8 | $46,630 |
| For families/households with more than 8 persons, add $5,430 for each additional person. | |