Sliding Fee Scale Application

If this is an emergency or if you are experiencing any of the following symptoms:
  • Suicidal thoughts
  • Chest or upper abdominal pain or pressure
  • Shortness of breath-unable to walk across the room
  • Sudden dizziness, weakness, numbness, or tingling (face, arm, leg)
  • Sudden inability to speak
  • Sudden confusion, changes in mental status, or loss of consciousness
  • Sudden trouble seeing in one or both eyes
  • Seizures
  • Uncontrolled bleeding
  • Severe or persistent vomiting or diarrhea
  • Coughing blood, vomiting blood, or large blood in the stool
  • Call 911 immediately and DO NOT use Appointment Request. 

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