We are proud to serve self-insured and uninsured patients!

Self-insured means the patient does not have health insurance and will pay for all expenses out of pocket. In this case, payment is required in full prior to services being render. In the event you cannot afford the current rate of $100/first visit fee, you can apply for the uninsured sliding scale by filling out the below form. This co-payment does not include labs, x-rays, shot administration fees or other non-visit fees.

Uninsured patients need to print and fill out this form prior to their appointment:

Financial Review Form (for uninsured patients)

To review current CICP income guidelines and copayment amounts, please view the following forms:

Ability-to-Pay Scale
Copayment Table