Forms Completion Policy

The only documentation regarding your health or illness required by law , and included in the office visit charge,  is your office visit note. Completion of paperwork for the Family Medical Leave Act (FMLA) claims, long-term care, life insurance, the Department of Veterans' Affairs, disability claims or other purposes is unnecessary duplication and goes beyond routine medical care. Therefore, it cannot be billed to your insurance company. Since all forms require the  signature of a treating Medical Provider,  we are personally responsible for the accuracy of the information provided.  Filling out forms requires careful consideration and considerable amount of our time.  It is our policy to charge for the completion of any forms as follows: Processing Fee $25.00 per form, and completion fee of $5.00 per page, beyond two pages.  

We will complete the form and fax it to the designated recipient within 15 business days of the receipt of payment.  We may also request completion of the Authorization to Disclose Protected Health Information.  You can avoid these fees by ensuring that the requester accept a copy of the office visit note in lieu of a form.