Form Requests
Address Confirmation / IRS requests
- A $25.00 service fee will be required in advance for any Address confirmation for tax/legal purposes.
Camp Forms
- A $25.00 service fee will be required in advance for any Camp/Daycare form request. Please allow 10 Business days preparation time. **If you would like your form expedited, please allow 48 hours. You will be expected to pay an additional $25.00 service fee in advance for this request. You will be notified via phone when your form is ready for pick up. If you would like to have your school forms mailed to you, please supply us with a self addressed stamped envelope. Please be made aware that we do not fax forms to Camps/Daycare.
School/Daycare Forms
- In order to complete any school forms, your child will need to have a well visit exam within the current school year. School forms may be brought in at the time of your child’s well exam. As we have limited staff and do not charge a fee for this service unless an expedited request is made, please allow 10 Business Days preparation time for processing. You will be notified via phone when your form is ready for pick up. If you would like to have your school forms mailed to you, please supply us with a self addressed stamped envelope. Please be made aware that we do not fax forms to schools.
**If you would like your form expedited, please allow 48 hours. You will be expected to pay a $25.00 service fee in advance for this request.
Medical Records
- If you would like your child’s full medical chart copied, please allow 1 to 2 weeks processing time. A processing fee of $0.75 per page for each chart requested will be due at the time of your request. Please note that we will be unable to begin processing your request unless the fee is paid in full. Cash or Credit Card will only be accepted. Unfortunately, we will not accept checks for this service. We will provide your new physician with your child’s growth chart and vaccination record free of charge.
