"Ensuring access to health care
for the residents of Laramie County"

Cheyenne Health and Wellness Center (CHWC) strives to provide quality health care services to all those in need, with integrity and respect, in a caring environment.

CHWC accepts all patients regardless of their ability to pay for services. To ensure that income or lack of insurance is not a barrier to care, low income patients who are not covered by public or private insurance are charged on a sliding fee scale.

Patient Forms

To save time during the intake process, patients may print and fill out patient information forms prior to thier appointment.

• Printable patient intake forms

Sliding Fee Schedule

CHWC's sliding fee schedule is based on family household income. When applying for the sliding fee discount, all household members must provide income documentation such as:

• Pay stubs for the last 30 days
• Employer statement of income
• Income tax return for the prior year
• Social security income statement
• Unemployment services statement
• Alimony
• Child support

If you are unable to provide income documentation at your first appointment, then a one day certification for the sliding fee will be allowed. Documentation will be required before your next appointment, or you will be billed the full fee for service.

• Printable sliding fee discount application

CHWC Accepts Medicare, Equality Care, Kid Care CHIP, and Private Insurance

Cheyenne Health and Wellness Center will be happy to bill your health insurance for you as a courtesy. In order for us to do so, you must provide a copy of your insurance card. If this information is not provided, your insurance will not be billed. Remember, this is only a courtesy. Cheyenne Health and Wellness Center accepts:

• Blue Cross Blue Shield
• Medicare
• Equality Care (Medicaid)
• Kid Care CHIP (Blue Cross/Blue Shield)
• Other private insurance

Patients are responsible for pre-authorization request, and should contact thier insurance company prior to thier appointment.

Incomplete information may delay access to beneficial programs available to you. Remember that you, the patient, are ultimately responsible for payment of the services rendered.