New Patient Information
New patients please bring your child’s current Immunization Record and current Insurance Cards when you come to the first appointment.
|Replacement Immunization Card||$15.00|
|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|
|Permanent Vaccine Exemption Forms||$45.00|
* IF NOT SEEN IN CONJUNCTION WITH AN APPOINTMENT)
**Parents please make sure to give a 12 hour notice on any appointment changes or cancellations to avoid a $20 fee.