
Medical Form Fees
Payment is required at the time of request.
| FORM TYPE | FEE |
|---|---|
| Adoption Forms | $25.00 |
| Long Term Care Forms | $20.00 |
| FMLA Authorization Forms | $20.00 |
Fees do not include office visits.
Insurance companies do not provide a benefit for completing medical forms, so we require payment when the service is requested.
Northpoint Pediatrics
