Sliding Scale Application
Thank you for your interest in our pelvic floor physical therapy services.
At Kemper Pelvic Physio, we are committed to providing accessible and trauma-informed healthcare services to everyone. Our sliding scale policy is designed to ensure that individuals from all walks of life can access the care they need.
We welcome all individuals regardless of their financial situation, and encourage those who may face financial challenges to utilize this policy. Additionally, we are committed to addressing health disparities and promoting inclusivity in healthcare.
Please take a few moments for thoughtful completion of this entire form so that we can better understand your needs and provide you with the best possible care. Once completed, please click the “Submit” button. We will review your information and reach out to you as soon as possible to discuss scheduling an appointment. We are committed to supporting you on your journey to better pelvic health and overall well-being. Thank you for entrusting us with your healthcare needs.
Sliding Scale Tiers
There are a select number of slots available for each category below. Sliding Scale means that the rates for services will vary between three payment tiers.
Consider how you fit in each of these tiers. When you fill out the form below, you’ll select the category you feel is most appropriate and would also be a commitment for you. Some may not fit neatly into any individual category. Please consider the closest fit for your situation.
In all cases, but especially if your situation crosses multiple categories, we will consider all responses in totality to determine eligibility.
