The Online Application allows CentroMed patients to submit the necessary information to begin the eligibility determination process for the sliding fee discount program. Please note, the application must be completed and signed in person to be finalized.

After submitting your online application, you will have the opportunity to upload required proof documents to verify your information. Final approval will be completed during your in-person visit once all requirements are met.

An Eligibility team member will contact you to verify your information and provide you with instructions to set up your in person completion.

For more information, please call us at (210) 334-3745

New Application


To initiate your CentroMed Application, please click the link below.

A phone number is required for online applications. If you do not have a phone number or have any inquiries, please reach out to the CentroMed Eligibility Services Phone Line at 210-334-3745 or click HERE


Send Documents


If you have already filed an SFD application through this website in the last 30 days, you may click below to upload additional proof documents that may be required to complete application processing. Note that your CentroMed Medical Record number is required to send proofs.

If you have questions you may call the CentroMed Eligibility Services Phone Line at 210-334-3745.

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