1. After hours phone calls: $20.00 charge.
  2. School/Camp/Sports participation forms fees (not brought in at time of checkup):
    $25.00 for up to two forms PER PATIENT, and $10.00 for each additional form. Please see details within the link "Patient Forms" above.
  3. Unpaid co-pay at time of visit: $5.00 charge. 
  4. Nurse visits for separating shots (for families choosing not to get all the shots at the time of checkup): $15.00 charge.
    These fees must be paid at the time of the visit..
  5. Missed checkup OR missed virtual visit/televisit without 24 hour advance notice: $50.00 charge. 
  6. Missed sick visit without 3 hour advance notice: $30.00 charge.
  7. Copies of medical records: 1 patient's medical record: $25.00 charge.  2 patient's medical records: $30.00 total charge.  3 or more patient's records: $35.00 total charge.