All forms to be completed by medical staff will be completed within 7 business days, all medical records requested will be completed within 10 business days. All fees for forms and medical records must be paid prior to the completion of the forms or printing of records. Below is a list of fees for medical forms and records.

• Daycare/School Forms - $7.00
• Sports Physical Forms - $15.00
• Multiple page forms (school therapy, homebound) - $15.00
• FMLA Paperwork - $25.00 per person
• Asthma Action Plans - $10.00
• Immunization Records
  • Clinic Paper Copy (printed, emailed, or faxed) - $5.00
  • New Hard copy- $15.00
• Medical Records- All Medical Records will have a charge if requested by a parent. There will be no charge if another medical office is requesting records for a patient with a parent signature.
  • Parent copy of records - $25.00 for first 25 pages and $0.50 for every page after
  • CD with records burned - $20.00
  • Postage will be the responsibility of the parent
• Court Fees
  • Subpoena records $20.00 for CD and $25.00 printed records
  • Court appearance by a medical provider - $50.00 preparation fee and $100 per hour for time in court.