Sliding Fee Discount Program

At ALmouie Pediatrics, no patient will be denied medical services due to inability to pay. We offer a sliding fee discount program to those who qualify.

Determining your eligibility for the sliding fee discount requires verification of your income. This information must be updated frequently to continue your participation in the program. The information is only used to calculate your discount and is kept completely confidential.

If you wish to apply, please click on the button below to fill out an application prior to scheduling an appointment or returning to your location. You may also submit the application directly to