Charles Pumphrey, MD Pediatrician – Menifee, California Serving the Menifee Valley

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
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.