About Freestone

Patient Financial Assistance

 

Freestone Health Clinic ensures no one will be denied access to health services due to their inability to pay.

Our sliding-fee program allows us to reduce or “slide” the fees for the care of you or your family. You may apply for the verification of eligibility of assistance to pay for your care.

To apply for the sliding fee, please provide your most recent pay stub for the past 30 days, current personal income tax return and an unemployment benefit statement.

You can download the Sliding-Fee Application here:

Freestone Health Clinic Financial Assistance Application

Connect with Us 

If you would like to receive further information regarding our standard charges, please complete the form below and Freestone Medical Center will contact you within 7-10 business days to fulfill your request.

Name*

Phone Number

Email*

Organization Name:

Requesting Information Regarding: