To get started filling out our online forms please follow the secure link. *Please select today’s date as date of appointment as one hasn’t been set yet.
The Income Worksheet needs to be filled out so that we can let you know how much your out of pocket expense will be based on the sliding scale. While we do have a sliding scale for payment we are happy to see all members of the community!
Mon – Thurs: 8am – 5pm
1223 South 12th Street #1
Bismarck, ND 58501