Register as a Dental Patient
Before you submit your forms please call our scheduling department to coordinate your appointment:
Complete the Registration and Consent forms:
Your Payment Options
We Accept Most Major Insurances. We accept most major insurances, AHCCCS Plans, and Medicare. Bring your health insurance card and a picture ID to your appointment.
MHC Healthcare also assists patients in screening eligibility for a variety of medical coverage options or discount programs such as Arizona’s Medicaid Program (AHCCCS) and Pima Community Access Program (PCAP).
Sliding Fee Scale (SFS)
The Sliding Fee Scale (SFS) is MHC Healthcare’s discounted health services program that makes healthcare affordable for you and your family. Based on gross family income, the SFS outlines the percentage or portion of billed charges that the client will be responsible for paying. All patients can be screened for eligibility for SFS discounts.
SFS Eligibility Requirements
- Have a gross annual FAMILY income no greater than 200% of the Federal Poverty Level guidelines.
- Must provide documentation of income and residency. You will be assigned to our SFS program while waiting for approval from AHCCCS. Attention Dental Patients on SFS: 50% of your dental fee must be paid at time of service.