Fill out the following form to see if you qualify for our sliding fee discount program based on family size and income.

No one will be denied services due to their inability to pay.

*Income Verification: Please complete for all household members who are employed. Proof of income (income tax return and/or last two paystubs MUST be provided to Sandia Therapy and Wellness Center. Otherwise, services will be rendered at the customary price.

**Extenuating Financial Factors: Explain any factors contributing to financial challenges and supply documentation to support these expenses.

Documentation can be mailed or hand-delivered to:

Sandia Therapy and Wellness Center at 6612 Gulton Ct NE Ste B

Albuquerque, NM 87109