Forms & Policies

New Patient Paperwork

If you are a new patient or have not been to our office in over a year, please complete the new patient paperwork.  


Completion of Forms

Physicians are often asked to complete a variety of forms outside of their visit. Completing a form requires time from the Physician’s day to review the chart and complete the forms accurately. Therefore, we do charge a nominal fee for this service. The fee can range from $25.00-$45.00 depending on the forms, which must be paid prior to the forms being filled out.

Medical Records Fee 

We are willing to assist patients who require copies of their records. Due to the time and printing involved, we can offer one set of records at no charge. If additional copies of the record are requested there will be a fee of $25.00 per request. (Fee is subject to change)

Check Returned for Insufficient Funds 

There is a $25.00 fee for checks returned for insufficient funds.

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