PHOTOCOPIES: $1/per page
(office notes, labs, shot record, correspondence, etc.)
Deferrals (Bd. Of Social Services) $20
SSI (billed, not pt. responsibility) $10
Sports, Camp, Daycare, college, Working, Universal health record, Medication Asthma Action Plans, Electric Assistance, Etc. $10
*WIC are @ NO Charge
LETTERS: On Script $10; On Letterhead $30
Phone Consult: TBA
No-Shows (less than 25 hours notice) $25
Completion of requests may vary by business day/time. Please talk with our receptionist.
*NOTE: For forms not filled out at time of visit, please allow 3-5 business days for us to fill them out. Also, you must have an updated physical to have forms filled out.