Financial Assistance

THE SLIDING FEE PROGRAM

The Sliding Fee Program allows us
to reduce or “slide” the fees for the care you or your family receive at Siouxland Community Health Center and Siouxland Community Health of Nebraska. Any patient can apply for the Sliding Fee Program to help pay for their care.

The following documents are used for income verification:

1. Most recent tax return or W-2 (If reflects current income)
2. Wages, most current pay stub(s), last full month
3. Unemployment benefits
4. Workman’s compensation
5. Social Security Benefit Statement
6. Child Support – Divorce decree
7. ADC / FIP Statement
8. Rental Income
9. Retirement benefits – Pension

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