- After hours phone calls: $20.00 charge.
- 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. - Unpaid co-pay at time of visit: $5.00 charge.
- 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.. - Missed checkup OR missed virtual visit/televisit without 24 hour advance notice: $50.00 charge.
- Missed sick visit without 3 hour advance notice: $30.00 charge.
- 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.
