Medical Documentation Requests

For established patients only

Payment required*

Medical Documentation Requests

Medical Documentation Requests

For established patients only

Payment required*

  • FMLA

  • Accomodations

  • ESA

  • ESA

  • Disability

  • Short-term Disability

Administrative Review Fees: $50 per letter / $75 per form. This fee covers the clinical time required to review and certify your records


Payment required upon request.
Completed outside of appointments
Not billed to insurance
Turnaround time: 24-96 hours after payment

Administrative Review Fees: $50 per letter / $75 per form. This fee covers the clinical time required to review and certify your records.


Payment required upon request.
- Completed outside of appointments
- Not billed to insurance
- Turnaround time: 24-96 hours after payment

Administrative Review Fees: $50 per letter / $75 per form. This fee covers the clinical time required to review and certify your records.


Payment required upon request.
Completed outside of appointments
Not billed to insurance
Turnaround time: 24-96 hours after payment

Send Request