*1.Please select your provider(Required.)

Sheena Anderson, FNP

Juan Bloodworth, FNP

Dr. William Horton

Dr. Lem Arnold

Yissy Martinez, FNP

2.Do you participate in the sliding scale fee discount plan?

Yes

No

3.If you do participate in the sliding scale plan, do you find your sliding scale fees:

Affordable

Not affordable

Not applicable

I do not have sliding scale