Effective January 01,2019 there will be a charge for completing the following documents requested by patients:
FMLA - $20
SSI (Disability) - $20
Short Term Disability - $20
Handicap Tag - $5
Letters - $5 (does not include return to work/school or letters written for specialty referrals)
If any of the above documents are completed on your behalf by your provider, payment is expected at the time the document is picked up.
(This policy excludes TN Care patients and Medicare/Medicaid Secondary patients)
Please consult your provider about any questions you have PRIOR to the completion of requested documentation.
Important Note:
All patient accounts are individual. If you are responsible for more than one patient (ie:spouse or child) each patient will have an individual account balance.