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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 touching the ground and looking