Operators of Federally Qualified Community Health Centers (FQHCs) in NW Florida
We are a nonprofit organizationwhich operates Federally Qualified Health Centers in Bay, Calhoun, Holmes, Liberty, Walton and Washington Counties, Florida. Make us your Patient Centered Medical Home!
For MEDICAL services, we accept:
For DENTAL services, we accept:
Why we need this information: As a Federally Qualified Health Center, we charge for services based on household income. Even if you have insurance (Medicaid, Medicare or private insurance), some policies may not pay for every visit or service. Therefore, we would need to know what to charge you based on your household income. This is called a “sliding fee.” Simply download, print and complete your MEDICAL Form (PDF) and bring your completed form with you along with any supporting documents listed above.
Walk-ins are welcome. However, to avoid a potentially long wait around scheduled appointments, you are encouraged to call ahead for the next available time slot.
Since our dental clinics are usually booked weeks ahead of time, you must make an appointment to see us. Here are the steps you need to take:
- Select the dental clinic at which you wish to make an appointment. Clinics Page
- Download and print a DENTAL Form (PDF) or stop by one of our dental clinics to receive a form.
- Complete and submit the form to the dental clinic (along with the same supporting documents listed for making a Medical appointment above) where you wish to make the appointment. Why? Because we need to inform you of your anticipated charges at the time of your appointment based on the insurance coverage you have (or lack of insurance.)
Your rights as a patient
Other forms you may wish to complete