Health Forms

Tuesday, September 01, 2009

There will be a charge of $10.00 for the completion of health forms by our office staff.
This charge will be applied to all forms sent in by mail or brought in to the office. We
would appreciate payment prior to the completion of the form.

There will not be a charge for forms completed at a physical exam, if they are brought
to the office at the time of the appointment.

Due to the number of forms that we receive (especially before sports seasons and
camp season), we cannot guarantee that they will be completed immediately. Please
allow at least one to two weeks for us to complete forms. If you know that your child
will be doing a sport, please contact the school well before the beginning of the season
to obtain the forms.

If your child has not had a physical exam within one year of the date we receive the
form, it cannot be completed by our office. Physical examinations can change, and if
we are to certify that your child is in good health and without medical risk factors to
play a sport, or attend camp, we need to perform a complete physical examination
within one year prior to signing the form. Therefore, please schedule an exam well in
advance of the date your child will be starting a sport or going to camp.

We strive to give our patients high quality care in a compassionate environment. By
adhering to the above guidelines, we hope to make the process of health form
completion a smooth one.

Thank you for your cooperation.

Drs. Handler, Koenigsberg, Kahn, and staff

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