Missed Annual Physical

$100

Missed Regular Appointment

$50

Driver's Medical

$125

Disability Tax Forms

$100+

AISH Forms

$175

Drug Authorization Forms

$40

Full Attending Physician Statement

$200+

Parking Placard Forms

$45

Work Sick Notes

$20

Chart Transfer

$50+

Most Other Forms

$30-50

Shingrix

$200

Twinrix Adult

$70

Twinrix Jr

$35

Cortisone / Depo-medrol Shot / Bupivacaine

$20