- Free: Forms will be completed for free if brought with the child to the Well-Check visit and uploaded to the patient portal on the same day of the appointment.
- If you would like the form printed by one of our offices, there will be a charge of $10.00.
If you request a form on a day other than the Well Check appointment.
- Forms will be available in 7-10 business days, there will be a $15.00 fee, and the form will be provided on the patient portal unless specifically requested on paper.
- If you would like the form printed by one of our offices, there will be a charge of $10.00.
- If you request a same-day form completion outside the Well Check appointment, there will be an additional rush fee of $25.00.
Thank you for helping us GO GREEN.