Management and Finance

NHSC Sliding Scale Fee Info Packet (pdf)
See page 10 & 11 for sample fee schedule
This is a guide to preparing a successful Sliding Scale Fee Policy

Sample Sliding Scale Fee Policy

Poverty Income Thresholds for Sliding Scale Fee Schedule (excel)

MOU – Referral Services

Primary Care and/or Hospitalist Agreement

Procurement Policy

Clinical

5B Referral and Tracking Table (doc)

5B Referral and Tracking Table Example

Credentialing Checklist (pdf)

Credentialing Policy

Credentialing Inquiry Form

Governance

Checklist for Health Center Bylaws (pdf)

Bylaws Template (doc)

Sample Succession Plan Work Plan (doc)

Succession Policy

Annual Disclosure and Conflict of Interest Form (doc)