• Vaccine Policy

  • No Show Policy

  • Financial Policy

  • Form Fees

    FEES FOR COMPLETING FORMS


    Forms are free of charge if presented at the time of your child's scheduled well-checkup.


    If brought in at any time other than at a well-checkup, the following fees apply.


    Standard Forms $15.00 (per child)

    Driver's License

    Sports

    School/College

    Day Care


    FMLA $25.00


    This applies to any form generated by an outside source or agency requiring a physician's signature.


    Fees are collected at the time the form is dropped off.


    For your convenience, every effort is made to complete the forms in 24 to 48 hours.

    PDF
  • Insurance Guidelines

  • Credit Card on File Policy

  • Referral Process Policy

  • Privacy Policy HIPAA

  • Transition to Adult Health Care Policy