Services & Rates

Sliding Fee Policy

NOTICE TO PATIENTS (Individuals):

This practice serves all individuals regardless of inability to pay full price.

Discounts for essential services are offered based on   family size and income.

For more information, ask at the front desk or call   (361) 726-7520 ask for Chester A. “June-June” Jones

Thank you.

AVISO PARA PACIENTES:

Esta práctica sirve a todos los pacientes,   independientemente de la incapacidad de pago.

Descuentos para los servicios esenciales son   ofrecidos dependiendo de tamaño de la

familia y de los ingresos.

Usted puede solicitar un descuento en la recepción o   visita nuestro sitio web.

Gracias.

Please see the following criterium to qualify and re-certify for your reduced fees:

• include proof of insurance or lack thereof, 
• proof of income (prior year W-2 tax returns, two most recent bank statements, two most recent pay stubs or unemployment benefits forms), 
• family/household size, 
• Proof of residency and more.
• Self- employed individuals are required to submit detail of the most recent three months of income and expenses for the business.
• Individuals who are unable to provide written verification must provide a signed statement of income, and why he/she is unable to provide independent verification. This      statement will be reviewed and final determination as to the sliding fee percentage will be made.
• Self-declared patients will be responsible for 100% of their charges until management determines the appropriate category.