Your Registration Checklist
(Registration is required on or before your first visit.)

Proof of Identification
Insurance Cards (Private Insurance, Medicare, Medicaid, Other)
Proof of Address
Proof of Income (if requesting discount)

No Insurance... No Problem

Bring the following items to your first appointment:

• Your last two payroll check stubs

• Proof of unemployment; food stamps; housing; and/or child support

• Social Security Income Statement

• Previous year's income tax return

• Any other source of household income

Once we have reviewed this information, we will assist you in filling out an application for financial assistance. There is a $25.00 minimal fee for each visit, regardless of the discount given. If you do not have insurance, you may also qualify for medication assistance.

Payment Arrangements

SFHC accepts most private insurances including Medicare and Medicaid (also Medicaid HMO's). If there is a co-pay or deductible for your plan, payment is expected at the time of service. 

If you're uninsured or underinsured (annual deductibles), a sliding scale is provided based upon family size and income which determines the rate of charge. We will work with you to set up a payment plan; however, we do request that you pay the $50.00 minimum at your initial visit. If you qualify for the sliding fee we ask that you bring a minimum of $25.00 to each visit thereafter. Click here to acquire a copy of the Sliding Fee Scale Application (Adobe Reader required), print the application, complete it and bring with you to your next appointment.

Follow-Up Visits

It is important that you schedule necessary follow-up appointments, and that you show up for your appointments on time. As an established patient, walk-in appointments are accepted as the schedule allows.