At ECHO, we are committed to getting you the health care that you need. If we can't give you the health care you need, we'll send you to the place that can. Health care that cannot be provided by the clinic is provided mainly by referral to a nearby hospital. We refer patients to many specialties, including Mental Health services. In addition, Nutrition Counseling is available by referral to the Institute for Family Health’s Walton Family Health Center, Mount Hope Family Practice, Parkchester Family Practice, and Urban Horizons Family Health Center during the week. Most referrals do require that people pay according to their income – that means that if you earn more, you pay more. If you earn less, you pay less.