Health Form Requests
The following are guidelines when requesting a health form:
- HIPAA laws require written authorization for completion of all health forms.
- There will be a $5 charge for all health forms completed outside of a routine physical examination. Forms competed outside of a routine examination will be completed and mailed or ready for pick up in 7-10 business days.
- There is a $10 rush fee for a form that needs to be picked up in 24 hours. If we receive a rush form on Friday afternoon or Saturday, it will be completed on Monday.
- Please remember that a well child exam must have been documented within the last year in order for your form to be completed.
- If you have already scheduled your well child visit (physical exam) and have a form that needs to be completed, the cost of that first form will be included in that day's copay. There will be an additional charge for each form.