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Fees for Third Party
Exams and Forms
DR. KLEIN'S POLICY REGARDING THIRD-PARTY PHYSICALS AND FORMS

DMV and Pre-employment Physicals (includes vision and hearing tests and urinalysis if required*)
Form fee included.
  • $125 (many companies will reimburse the employee)?
    If patient due for a health-screening visit that is reimbursable by their insurance, the fee will only be $15 for the form, plus the fee for any tests that are required to complete that form that are not generally recommended for health screening for their age.
Scouts/Camp/School/Sports Physicals (includes vision and hearing tests and urinalysis if required*) Form fee included.
  • $75 (pre-Kindergarten with state form is exception - N/C)?
    If patient due for a health-screening visit that is reimbursable by their insurance, the fee will only be $15 for the form, plus the fee for any tests that are required to complete that form that are not generally recommended for health screening for their age.
Forms (without physical required, e.g. disability forms, some sports releases, most day-care forms; if exam to be reported, generally must have had complete exam in prior six months).
  • $10-25 depending on complexity and time required for form.
Fees are to be paid at the time of visit. No billing for third-party physicals or forms.

*Any drug screens and/or blood tests are extra.

EFFECTIVE JULY 1, 2001


 
 
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