Dial or Text 988 for NATIONAL SUICIDE PREVENTION LIFELINE

24/7 Mental Health Hotline
1.833.644.3575

2024 Sliding Fee Discount-Effective 1/15/2024
Annual Income Ranges for Federal Poverty Level (FPL) Calculation

Click to download the sliding fee scale using the buttons below.

Discounted Fees

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.

Patients Rights and Responsibilities

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 THINK YOUR RIGHTS ARE BEING VIOLATED, CONTACT INDIANA DISABILITY RIGHTS

If you receive services from this facility, you have the right to:

CALL US
800.622.4845
TTY: 800.838.1131

WRITE US
Indiana Disability Rights
4755 Kingsway Drive, Suite 100
Indianapolis, IN 46205

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!

800.901.1133

‍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

Our Goal

We aspire to be like helpers. So we serve all people. No matter their religion, ethnicity, or gender. Going after poverty’s symptoms is temporary.

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Our Mission

In an effort to ensure volunteering at Foundation events is fulfilling experience for you. Going after its causes is permanent for everyone.

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