- Copy of Immunization record Free
- Yellow immunization card Free
- Each replacement card if lost $10
- Excuse for School/work requested during a visit Free
- If not requested during a visit $10
- School/Sport/Camp/Health Form presented during a visit (limit 1 per visit) Free
- If not requested during a physical exam $10
- Copy of medical records $25 unless it is a thick chart
- Letter $25 and up (to be decided by dr )
- Retrieval of records from storage $50
- If returning to our practice Free
- Billing fee for co-pay not paid at time of service $10
- Returned check fee $25
- Special vaccine order handling fee $50
- Surcharge for non-standard immunization schedule $50
- Review of medical records for adoption $100-$500 (to be decided by dr )