PediatriCare of Northern Virginia

Appointments 703.330.3939


New Fee for Forms

Posted on: 10/27/2016

Effective 10/27/2016 School/Sports forms that are brought in at the time of service will have NO charge. School/Sports forms that are NOT brought in at the of service will have a $10 charge. Any other health form that is more than 2 pages (including a 1 page front and back) - $10 charge FMLA forms - $25 charge Please note that ALL forms, not including School/Sports forms brought in at the visit, require a 48 hour turn-around time. Any form that needs to be expedited right away (24hrs) will have an additional $10 charge added. Back to article
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