Mission 

• We believe that every individual should have access to our services, regardless of financial, geographic, or physical barriers. 
• We are a teaching clinic. Services are provided by graduate student clinicians under the supervision of licensed and certified speech-language pathologists. 

You may qualify for our sliding fee scale if you have lower income. The sliding fee scale gives you a certain percentage of discount based on your entire family's income. If you have insurance, we will need to first attempt to bill your insurance prior to considering this application. 

Please refer to the UM DeWit RiteCare Clinic website's Payment for Services section for information on our fees for services and sliding fee scale for 2019-2020.

In this application, you will be required to provide income status documentation. This may include the following: 

EMPLOYED

• Weekly- three consecutive pay stubs
• Bi-weekly: two consecutive pay stubs

SELF-EMPLOYED

• Self-employed- most recent Federal tax return
• Business income- most recent Federal Business and personal tax returns

UNEMPLOYED

• Unemployed claim determination letter

RETIREMENT

• Social Security checks or bank statements showing direct deposits, official documents showing private pension, annuities, or individual retirement accounts

INTEREST/ DIVIDENDS

• Bank and/or investment account statements

ALIMONY/ CHILD SUPPORT

• Legal documents showing amounts ordered to be paid for support and/or alimony

OTHER

• Any other form of income not stated above