Sliding Fee Schedule

Main Street Family Medicine is happy to offer a Sliding Fee Scale Payment Plan. This is part of our mission to provide care to everyone regardless of ability to pay. No one will be denied access to services at our facility due to inability to pay; and there is a discounted/sliding fee schedule available based on your family size and income. Please inquire about how to apply for this program at our front desk. The following application form can be printed, filled out, and brought in to our office.

Application Form