• 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
  • Drop files here or
    Accepted file types: jpg, gif, png, pdf, doc, docx, xls, xlsx, txt.