FAU/NCHA Community Health Clinics

Dear Patient: We are a non-profit clinic that provides low cost health care on a sliding scale. Visit costs for patients are determined by a sliding fee scale that is calculated based on income and household size. This practice serves all patients regardless of inability to pay. Due to new federal reporting regulations, the following information is now required for each patient. Please note that all information is confidential. We appreciate your cooperation with these new reporting requirements and will need to collect this information on an annual basis.