Administrative Service Fees

Services that May Not be Covered by Your Insurance.

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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
Immunization Documentation $100
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
Financial/Billing Reports $15

We Welcome You To Our Clinic!

Get the care you need today.


401 South Main Street, Suite A4
Alpharetta, Georgia 30009
Mon - Fri: 8:30am - 6pm
Sat and Sun: Closed


Fax: (770) 772-4227
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