OFFICE CHARGES



About Non-Covered Paperwork:

  • Paperwork and forms completion are considered non-covered services.

  • We reserves the right to charge administrative fees for any non-covered paperwork completion.

  • Please ask our receptionists on the fees required for the each paperwork requested.

  • All fees must be paid in full prior to completion of paperwork.

  • Allow 5-10 business days for regular completion.

  • Expedited completion will have an additional fee.

Types of Non-Covered Paperwork:

  • Diagnostic letters requiring review of medical records.

  • Health forms requiring medical records review.

  • Temporary DMV Disabled Placards forms up to 6 months, requiring medical records review.

  • Permanent DMV Disabled Placards require a formal Disability Evaluation to establish and document disability.

  • Gain program certification requiring medical records review.

  • General Relief disability forms requiring medical records review.

  • Health Certification or School/ Work physicals requiring medical records review.

  • Employment Disability form requiring medical records review.

  • Caregiver Certification forms requiring medical records review.

  • Citizenship Disability certification for established patients with chronic diseases.

  • Other Disability forms requiring medical examination and assessment of disability limitations.

Non-Covered Office Visits:

  • Payments must be made prior to your office visit.

  • Type of Non-Covered Office visit.

    • Uninsured Patient Visits

    • Disability Evaluations

    • Capacity Evaluations

    • Harrasment Eval & Reports

    • Discrimination Eval & Reports

    • PTSD Eval & Reports