It is the policy of Livingstone Community Health Clinic (LCHC) to provide essential services regardless of the patient's ability to pay. Discounts are offered based on family income and size. Family size is defined as the number of individuals living within a single residence contributing to or supported by the collective income. The discount will apply to all services received at LCHC but not services which are purchased from outside, including reference laboratory testing, drugs, x-ray interpretation by a consulting radiologist, and other such services. If you feel like this may be a benefit to you and your family, please complete this application and provide verification of income.