In addition to the medical care you receive at our office, we provide a variety of administrative services. These services may not be covered by your insurance. As such, we collect an optional Administrative Service Fee of $60 annually. This fee provides unlimited use of these services.
The ASF is not mandatory. However, if you choose not to pay, you will be charged for all administrative services as needed. A list of our services and associated fees can be found below.
|Examples of Administrative Services||Administrative Fee|
|FMLA Leave Forms||$150|
|Short Term and Long Term Disability Forms||$150 - $250|
|Handicap Parking Form with Notarization||$75|
|Medical Records Requests||$35 - $50|
|Customized Letters of Medical Necessity||$100|
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