Sliding Fee Discount Program Application

Sliding Fee Discount for Healthcare in Prince William VirginiaAt Greater Prince William Community Health Centers, we provide access to quality healthcare regardless of insurance status. We accept most insurance, including Medicaid, Medicare and FAMIS, and our care coordinators can help you to select a plan that’s right for you (call 703-680-7950). If you are unable to obtain insurance, we encourage you to apply for our Sliding Fee Discount Program, which provides qualifying patients with significant discounts our our medical services. If you do not have insurance, and wish to apply for the program, please complete and print all of the forms below prior to your appointment.

Go to our Patient Forms & Portal page to download registration forms and for a list of items you should bring to every appointment for a faster check-in experience each time you come to a Greater Prince William Community Health Center.