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214.396.5200 | 11955 DALLAS PKWY, FRISCO | M-F 8-6 SAT 9-12 SUN 3-5
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Michael
2017-01-23T11:46:51-06:00
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FORM COMPLETION WITHOUT A VISIT
Your physician will complete forms and prescription refills during your visit, at no charge. If you are uploading a form requiring medical review and a physician's signature without a visit, the following charges will apply:
- FMLA, Disability or Complex Forms - $29
- Asthma Action Plans - $19
- Allergy Plans - $19
- Sports Physical Forms - $19
- Day Care/School Attendance Forms - $9
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Accepted file types: jpg, gif, png, pdf, doc, docx, xls, xlsx, txt, Max. file size: 512 MB, Max. files: 15.
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