Third Root Community Health Center

Third Root Sliding Scale

Net Annual Income Chart

Please use the following chart in conjunction with our Sliding Scale Worksheet. Feel free to contact us if you have any questions or need help with the worksheet.

Net Annual Income (from Sliding Scale Worksheet) Percent of Total Fee per Service Fee for Private Acupuncture Treatment Fee for Massage Therapy Treatment Fee for Community Acupuncture Treatment Fee for Herbal and Nutritional Consultation Fee for Individual or Couple Yoga Session
$0-$12,000 50% $50 $50 $20 $38 $50
$12,000-$18,000 55% $66 $66 $22 $45 $55
$18,001-$24,000 60% $72 $72 $24 $50 $65
$24,001-$33,000 65% $78 $78 $26 $55 $70
$33,001-$42,000 70% $84 $84 $28 $60 $75
$42,001-$55,000 80% $96 $96 $32 $65 $80
$55,001-$70,000 90% $108 $108 $36 $70 $90
$70,001 and above 100% $120 $120 $40 $75 $100

 

Download a copy of the Third Root Sliding Scale Worksheet (136K PDF) and this Income Fee Chart (32K PDF).

You will need Adobe Acrobat Reader to view and print these documents. In addition to Adobe’s proprietary software, Third Root also encourages you to explore open source alternatives, such as these.

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Third Root Community Health Center is a worker cooperative of healthcare practitioners. The content found on this website is provided for informational purposes only, and Third Root makes no warranty concerning the efficacy of the content found here. This website is not intended as a substitute for professional healthcare advice, diagnosis, or treatment. Please consult with a trusted healthcare practitioner (like us!) before diagnosing yourself or beginning any treatment regime.

if you are experiencing a true medical emergency, contact a trusted healthcare practitioner or 911 immediately.

Third Root Community Health Center
380 Marlborough Road
Brooklyn, NY 11226
Tel 718.940.9343
Fax 718.940.9345

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