Click to download the sliding fee scale using the buttons below.
In order for patients to receive discounted fees you must complete a FinancialAssistance Application. Applications can be found at the Registration Desk.Should you need assistance in completing the application one of our staff will assist you.
The amount of the discount is based upon household income and family size.
NO PATIENT WILL BE DENIED SERVICES BECAUSE OF THEIR ABILITY TO PAY.
You Have the Right to Receive a “Good Faith Estimate” Explaining How Much Your Health Care Will Cost. Learn More Here.
All Patients Have the Right to:
All Patients Have the Responsibility to:
All Patients Should do the Following for Each Appointment:
Patient Concern and Grievance Process
The Family Health Center has an established Patient Concern and Grievance Process. This process will allow a patient to file a complaint or grievance with the Family Health Center CEO or staff without fear of retaliation or discrimination.
To file a complaint, please address your concerns with the Family Health Center or a member of its staff, in writing to:
Family Health Center
ATTN: CEO
702 Old Wheatland Road
Vincennes, IN 47591
In Crisis? Call 1.833.644.3575 or call/text 9-8-8
If you receive services from this facility, you have the right to:
VISIT THE WEBSITE www.IndianaDisabilityRights.org
Concerns or Complaints?
Any individual who states he or she is a consumer, a relative, a provider, or a concerned party may use the Consumer Service Line and register a compliment, concern, or complaint. All calls which involved psychiatric state operated facilities, DMHA licensed private mental health institutions, DMHA contracted service providers, and any other addiction/psychiatric facilities that enroll in this service are recorded and faxed to the provider with a copy to DMHA.
Call the CONSUMER SERVICE LINE!
8:30am - 5:00pm Monday - Friday
If you are deaf, hard of hearing or speech impaired, dial 7-1-1 to access the Consumer Service Line.
You may also contact the Joint Commission to report concerns about your care, treatment or safety online at www.jointcommission.org. Online submission provides the most direct and timely receipt of your concern.
You can also mail your concern to:
Office of Quality and Patient Safety
The Joint Commission
One Renaissance Boulevard
Oakbrook Terrace, IL 60181
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