Forms and School Excuses
*School excuses will not be given for the days when the child is out of school and is not seen in our office.
 
Our practice charges for additional paperwork outside of the completion of the medical records. The following fees apply and are subject of change without notice.
 
Copy medical records - $25.00
Blue Forms – $5.00

If you request a Blue Form on the day the vaccines are given to your child we will not charge you for the Blue Form.



Form Links:
 
New Patient Registration Information Notice of Privacy Practices
Authorization For Release of Information Consent To Treat
Patient Info