Sliding Fee Discount Program
You may be entitled to get financial help from Indian Stream Health Center by applying for our Sliding Fee Discount Program. This program is specific to Indian Stream Health Center and is seperate from any financial assistance offered at any other facilities or health care organizations.
Please download and complete the application completely and return it, along with required documentation, to the registration desk at the health center. If you are unable to download and print the application give us a call at (603)237-8336 and we will mail you one. It is important to list all members of the household in order to make sure you qualify for the correct discount.
If you have any questions regarding ISHC’s Sliding Fee Discount Program, or would like help filling out the application, please do not hesitate to contact ISHC’s Outreach Department at (603) 388-2414, (603) 388-2427 or (802) 266-3340. We are here to help!
Click file below to download.
Please download and complete the application completely and return it, along with required documentation, to the registration desk at the health center. If you are unable to download and print the application give us a call at (603)237-8336 and we will mail you one. It is important to list all members of the household in order to make sure you qualify for the correct discount.
If you have any questions regarding ISHC’s Sliding Fee Discount Program, or would like help filling out the application, please do not hesitate to contact ISHC’s Outreach Department at (603) 388-2414, (603) 388-2427 or (802) 266-3340. We are here to help!
Click file below to download.
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