The personal information we obtain depends on the type of services you are accessing. Generally, the information includes: name, address; phone number; individual/household occupants’ social security numbers; date of birth; age; sex; sexual orientation; gender identity; occupation; salary and employment information; financial information; health habits; medical information both past and present; general health history to include family history, previous care and treatment issues; billing preferences; parental and guardianship information; picture identification; drivers license number; and other information necessary to provide you the best care possible.
Most of this information is provided by you, but we also collect personal information about you from several other sources, depending on the nature of your care.
We obtain personal information about you from the following sources:
- Information you provide us, or an affiliate, on the patient information or financial assessment form, or on any other informational forms you may have completed;
- Information you provide us, or an affiliate, about transactions with other entities;
- Information your physician or other health care practitioners provide FCHC; or
- Information received from other sources
We use your personal information to: perform transactions and functions necessary to implement and administer your care and treatment; to manage and treat your overall healthcare and well-being; to qualify you for the sliding fee discount program; and to process your claims for payment. On occasion your personal information is used for reporting or other functions required or permitted by law.
We may share any of the information we collect about you (as described above) with our business associates. We may disclose any of the information we collect about you to other parties, however, the type and the amount of information we share with others is limited to what is necessary healthcare or as otherwise permitted or required by law.
We may disclose any of the information we collect about you (as described above) to companies that perform services on our behalf, including administrative services, or to other institutions with whom we have joint agreements. If in the future we expand our business to include sharing your personal information to affiliates or non-affiliates for services that are outside the scope of what is permitted under law, we will issue new privacy notices to all our patients explaining option rights.
We maintain physical, electronic, and procedural safeguards to protect your personal information. We access and use your personal information to the extent necessary to administer your healthcare. We establish confidentiality agreements with contracted parties that receive non-public, personal, financial, and health information to those employees who need to know that information to administer your healthcare.
- Adult primary care
- Pediatric Care
- Physical Examinations
- Family Planning
- HIV Testing & Treatment
- Cancer Screenings
- Lab Testing
- Medical Diagnosis & Treatment
- Well Child Care
- Vision & Hearing
- Medical Referrals
Here at FCHC no patient is turned away due to his or her inability to pay. A Sliding Fee Discount Program is provided to all person who qualify based on his or her ability to pay. The program sets a discount level on what you pay based on the size of your household and how much money your household makes in a year. You can apply for a discount if you have insurance. If you wish to apply for the Sliding Fee Discount Program, please bring proof of all income received in your household. Proof of income examples are
- Current 1040 Tax Return
- W-2 Form
- 3 Consecutive Check Stubs (updated annually)
- Valid Identification
- Proof of address
- Insurance, Medicaid or Medicare card
- Records from other doctors and or hospitals
- All medications you take
- Results of prior labs, x-ray and special procedures
- A list of any health concerns you may have
We accept most major medical and dental insurances, as well as Medicare and Medicaid. Please be sure to bring your insurance card with you for any of your visits.
Patients who are uninsured will pay a sliding fee based on their income and the size of their family.
We accept cash, checks, and most major credit/debit cards.
Florida Community Health Centers, Inc. (FCHC) envisions a leadership role in the provision of primary health care services. FCHC will assume a strong advocacy role for primary health care to meet the challenges facing Florida.
Contact us today so we can see try to help you.
To make an appointment please contact the center of your choice directly.