Document Requests

  1. Routine school or work excuses are available upon request at the end of your appointment. Records can be pulled and uploaded to the Patient Portal upon your request.
  2. Please allow 3-5 business days to complete.
  3. If time permits, brief forms (“simple” – less than 5 minutes, i.e., absentee note, accommodation letter) may be completed during your allotted appointment time, and there will be no additional charge — notify the front desk at the beginning of the appointment if any of these forms are required.
  4. Longer forms and letters will be done outside of appointment time, and the fee will be based on the time required to complete the request as follows:
      • Simple (less than 5 minutes) No Charge
      • Moderate (5-15 minutes) $50.00
      • Lengthy (15-30 minutes) $100.00
      • Complex (over 30-60minutes) $200.00
      • Special Complex (over 60 minutes) $200.00/Hour

6. If records must be printed, faxed, or mailed, a fee of $25 for the first 20 pages and $0.50 for each additional page.