If you have disability insurance or are eligible for leave under the Family Medical Leave Act (FMLA), you may drop these forms off at your physician's receptionsit.  Please fill in all pertinent information which you can.  The following fees apply for each form we complete on your behalf.  

  • DISABILITY                                 $25.00
  • PHYSICIAN STATEMENT          $15.00
  • FMLA FORMS                             $25.00


Please allow us 7 to 10 business days to complete these forms accurately.  Please call our office before making a trip to pick-up these completed forms.  


Copy of medical records fees for first 20 pages of documentation costs $25.00  Additional pages cost 0.50 per page.  Any release of medical records requires a signed release form.  

INSURANCE INFORMATION

FINANCIAL POLICY

CHILDREN'S POLICY

DIsability and Family medical leave forms