Teri's Health Services understands that at times patients may have documentation for our providers to complete on their behalf including disability paperwork, FMLA paperwork, or other type of paperwork and items. We do not write emotional support animal letters. When a type of letter or paperwork needs to be complete and we agree to complete the patient is charged a $110 dollar fee for the visit that is set for one (1) hour in length. If the same matter needs a second item complete at a later time then we charge the $110 fee again and set the one (1) hour visit again. Once the form is complete please allow up to 14 days for the medical records team to complete. You may request an expediated record request or completion but we may not be able to abide by that. Paperwork visits and timeframes are not charged to your insurance. We charge you the fee only. If this is for a minor or dependent adult please ensure at least one guardian is present for the one hour meeting. If you miss the visit you will be charged the no show or cancellation late fee of $110 on top of the $110 for the visit to be completed at a later time. We will not release the record if you have a balance in your chart.
Below:
1. Complete the form
2. upload the paperwork required to be completed
3. pay the fee
4. Once complete, call us to schedule.
Thank you.