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School and Camp Forms

Check-Up Appointments: The following forms that are brought in at your child’s check-up will be completed in the office at no charge:

Sport Forms
Camp Forms
College Forms
School Medical Forms
Immunization Forms
Hearing & Vision Forms

 

Other than at the time of Check-Up: The following forms that are given to us at any other time (when the patient does NOT have a check-up) will be completed within 24-72 hours upon the receipt of the appropriate flat fee listed below:

Sport Forms:                           $10.00
Camp Forms:                           $10.00
College Forms:                        $10.00
School Medical Forms:        $10.00
Immunization Forms           No Charge
Hearing & Vision Forms      No Charge

 

The following forms must be left with our office: These forms will be completed at our earliest convenience and returned promptly:

FMLA Forms:                          $25.00
Disability:                                 $15.00
SSI:                                              $20.00
TEFRA/Katie Beckett:           $50.00
Renewal                                    $25.00

 

Letter of Medical Necessity: Letters will be completed within 24-72 hours upon the receipt of the appropriate flat fee listed below:

Letter (first page only):          $25.00
Additional pages:                    $5.00 per page

 

Medical Records: The charges associated with a release of medical records vary based upon who is requesting them. The pricing is listed below:

Released to Parents:                $25.00
Released to Physician:             $25.00
Released to Attorney:              State of Georgia sets fees
Released to Insurance:            $75.00