See If You Qualify for Discounted Care

Answer a few quick questions to find out if you may qualify for our Sliding Fee Discount Program.

About you Step 1 of 5

Let's start with who you live with.

Do you live with a spouse or an unmarried partner?

Add each child under age 19 who lives with you.

Important: Only count children under 19 who live with you. Children living somewhere else are not counted, even if you send money to support them.
Do you have any children under 19 living with you?

Almost there! One more quick question.

Just so you know: These adults are NOT counted in your household. We ask only because it helps us give you the most accurate answer.
Are there other adults age 19 or older living in your home (besides you and your spouse/partner)?

For each adult in your household, tell us about your income. If you have more than one source (like a job plus DoorDash), add each one.

Call us to schedule your appointment

Our team will walk you through everything you need.

📞 (801) 417-0131

When you call, we will:

  • Help you schedule an appointment
  • Answer any questions about the documents you need
  • Answer any questions about the program or your visit cost
Your privacy: This tool does not save any information you enter. Once you close this page, all of your answers are gone. This is an estimate only — your final discount will be confirmed when you bring your income documents to your appointment.