As a Federally Qualified Health Center (FQHC), Katahdin Valley Health Center (KVHC) provides a sliding fee discount for all services to patients who meet the eligibility guidelines. Sliding fee discounts are determined according to household size and yearly income, regardless of health insurance status. This program allows patients to pay a set co-pay of $10, $20, $35, $45, or $50 per medical visit or a certain percentage on their bill at our dental offices if they qualify.
For out of state calls, you may use our toll-free number: 1-866-366-5842.
KVHC offers translation services via Language Line Solutions. Please see the front desk for details.
KVHC ofrece servicios de traducción a través de Language Line Solutions. Por favor, consulte la recepción para más detalles.
KVHC offre des services de traduction via Language Line Solutions. Consultez la réception pour plus de détails.
For TTY services, please dial 711 to be connected to an operator.
This health center receives HHS funding and has Federal Public Health Service (PHS) deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals. This entity receives HRSA Health Center Program grant funding under 42 U.S.C. § 254b and has been deemed a Public Health Service employee for purpose of certain liability protections, including Federal Tort Claims Act coverage, under 42 U.S.C. § 233(g)-(n).
Katahdin Valley Health Center is an equal opportunity provider and employer.
Katahdin Valley Health Center provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, national origin or ancestry, age, physical or mental disability, genetic information or predisposition, gender identity, sexual orientation, marital status, parental status, pregnancy, religion or faith, political beliefs, citizenship, veteran status, protected activity under the Maine Whistleblowers Protection Act, filing a prior claim under the Workers Compensation Act, and sexual orientation.
If you wish to file a Civil Rights complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866)632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at program.intake@usda.gov.
Please fill out either the application form for our Sliding Fee Discount Program, or the Refusal Form if you feel you will not be eligible for the Sliding Fee or do not wish to take advantage of the discount.
Sliding Fee Discount Application
OR
Sliding Fee Discount Refusal Form
Please upload your financial documents to support your application here:
Sliding Fee Document Upload Form
Let us know what you think! Please tell us about your recent visit to KVHC.
Please do not ask health care questions on this form. If you have an emergency, please call 911.
