What a community health center is
Community health centers, also called FQHCs, receive federal funding on the condition that they serve everyone in their area regardless of ability to pay or immigration status. They offer primary care, pediatrics, prenatal care, dental and mental health services, and pharmacy discounts. There are about 1,400 organizations running more than 15,000 sites; this directory lists the ones we have on record.
How the sliding fee works
- You bring proof of household income: pay stubs, a letter from an employer, or a signed statement if you are paid in cash.
- The clinic places you on a scale. At the lowest incomes a visit is often a small flat amount; some clinics charge nothing.
- The scale applies to everyone; no insurance is needed.
- Ask for the fee in writing before the visit so there are no surprises.
Language and privacy
Health centers must provide interpretation at no cost; ask for a Spanish speaker when you book. Your medical records are private under federal health privacy law and are not shared with immigration authorities.
Common questions
- Will using a clinic affect an immigration application?
- That is a legal question that depends on your situation. Health centers and legal aid organizations both address it often; ask a qualified advisor rather than avoiding care.