MEMORIAL WEEKEND HOURS | 9/5: OPEN Sat 8:30–10 am @ Clearvista Office | 9/6: OPEN Sun 4:30–6 pm @ 146th St Office | 9/7: CLOSED MONDAY

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
All Other Medical Forms $5.00

Fees do not include office visits.

Insurance companies do not provide a benefit for completing medical forms, so we do require payment when the service is requested.

 
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