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.
Missed appointments without 24 hour advance notice: $50.00 charge. This applies to both appointments scheduled in advance and appointments scheduled on the same day.
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.