Requesting forms or letters
Please allow a minimum 7-10 business days for a patient representative to contact you about this request.
Forms are completed during a patient appointment with few exceptions. Forms are only completed for ongoing, active patients and at provider discretion.
Forms completed outside of any appointment acure a fee not paid by insurance. Rate is $50 per 15 minute unit of provider time. Fees must be paid at the time of service.
**If you have a custom form that needs to be completed, PLEASE drop at office location OR email pdf or word document prior to appointment: firstname.lastname@example.org