& Fees

Forms and Fees

We are happy to fill out forms as necessary for work and disability as your medical provider sees fit. There is a fee associated based on the time and effort needed to complete the forms. We will do our best to be prompt and thorough when forms are needed.
  • Functional Capacity Forms- $250 (must schedule appointment with Provider)
  • Forms(Disability, FMLA, etc): $25
  • Letters (Jury Duty, Personal, Work etc.)- $25
Please contact Janet at 209.571.1992 ext 1011 or email with any questions regarding forms. She will let you know what information we need from you and coordinate with your provider to get them completed.