

New Patient Information
New patients please bring your child’s current Immunization Record and current Insurance Cards when you come to the first appointment.
Paperwork Fees
| Replacement Immunization Card | $15.00 | |
| Medical Records | $25.00 | |
| Back to School or Work Note* | $15.00 | |
| Physical or Sports Forms* | $15.00 | |
| Family Medical Leave Form | $30.00 | |
| 730 Eval. Form | $30.00 | |
| Typed Letters (Doctor dictated) | $30.00 |
*Parents please make sure to give a 24 hour notice on any appointment changes or cancellations to avoid a $20 fee.