Since Goodwin Community Health receives both state and federal funds, you and your family may be eligible for a discount on the fees charged for services and supplies you receive. This discount is based on family size and household income. If you wish to apply for a discount, you will need to answer the questions below and supply proof of income 30 days from the date this application is signed. If you are applying for our sliding fee, once proof of income is received, you will be eligible for that discount for one year.
The following are appropriate examples of types of income:
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Social Security
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Retirement
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Business
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Welfare Payments
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Child Support
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Alimony
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Disability
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Others
The following are appropriate examples of proof of income:
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4 weeks of current and consecutive pay stubs
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Current tax return
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4 weeks of Unemployment check stubs