RGH Clinic

Sliding Fee Scale

RGH Clinic offers a sliding fee scale to our uninsured and underinsured patients based on financial need. This program helps our patients afford quality healthcare. The sliding fee scale is based on the Federal Poverty Guidelines, which means, household income plus number residing in household. We want you to know at RGH Clinic, no patient will be denied access to servcies due to inability to pay; and RGH Clinic offers a discounted/sliding fee schedule available based on family size and income.

Below are the details of how patients can qualify for our sliding fee scale:

The following information must be submitted at the time of the appointment to avoid delay in the qualification process.

*Proof of Income (one of the following) for all household members 18 years and above

  • Tax return
  • Monthly income
  • Need paycheck stubs for all working members of the household
  • Wage statement

*Picture I.D.

Click here to download the application. ENGLISH | SPANISH

For more information please contact us at 575.356.6652 and ask to speak with someone in the Business office.