CLOSED Thanksgiving
Fri 11/24 OPEN: Walk-in sick clinic 8-11am @ 146th St. office
Sat/Sun 11/25-11/26 OPEN: Weekend walk-in sick kid clinics

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.

 
Baby girl with pony tail in white