Patient Resources & Privacy
Billing, Charges and Fees
Kintegra will file all types of insurance for our patients. We do have a discount program available for uninsured patients called a ‘sliding scale’ program. This bases the patient’s fees on the amount of income and the number of people living in the home. Our staff will assist you to determine your eligibility. You can also fill out and bring this Sliding Fee Application with you to your visit.
Sliding Scale Discount Program
Kintegra will file all types of insurance for our patients. We are dedicated to providing quality health care, health education and preventive care services to all members of the community regardless of financial barriers (ability to pay) through the regular publication of a sliding fee scale. Kintegra offers a discount program available for uninsured patients called a ‘sliding scale’ program. This bases the patient’s fees on the amount of income in the household and the number of people living in the home. Discounts described on the sliding scale reflect the eligible patient’s obligation based on family household income in relation to the Federal Poverty Guidelines, published annually. Kintegra annually revises and re-issues the sliding scale to reflect changes in the Federal Poverty Guidelines. Our sliding scale fee application forms are provided below. Our staff will assist you to determine your eligibility. You can also fill out and bring the application with you to your visit.
Save time by completing these patient information packs before your visit with Kintegra!
For your Medical and/or Behavioral Health Visit:
- Adult Patient Information Pack (English) 2024
- Adult Patient Information Pack (Spanish) 2024
- Pediatric Patient Information Pack (English) 2024
- Pediatric Patient Information Pack (Spanish) 2024
- Sliding Scale Fee Application (English) 2024
- Sliding Scale Fee Application (Spanish) 2024
- Revocation of Consent to Release Patient Information 2024
For your Dental Visit:
Complete our Information packet (for Adults and Children) and bring with you on your visit:
Notice of Privacy Practices
This notice describes how health information about you may be used and disclosed and how you can get access to this information. Click on the link below to download a copy.
Text Communications Terms of Service & Privacy Policy
Patient Centered Medical Home
The NCQA Patient-Centered Medical HOME (PCMH ) certification recognized the use of evidence-based, patient-centered processes that focus on highly coordinated care and long-term, participative relationships. GFHS is proud to have ten medical facilities receive PCMH recognition. You can view or download our Patient Brochure about PCMH by clicking : PCMH Patient Brochure: English August 2025 or PCMH Patient Brochure: Spanish August 2025
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