18 & Over – HIPAA Release and Consent Form
Why am I getting a copay on a physical?
Cancellation and No Show Policy:
All no-shows and cancellations of physical exams within 24 hours of the appointment will be charged $50.00.
Do you need a prescription refill?
Effective immediately, prescription refills will require 3 days’ notice. However, most refills will be handled by the next business day. Prescriptions for ADD/ADHD medication or any other controlled substance will only be refilled Monday thru Friday. Thank you in advance for your understanding.
*effective August 2, 2021
Do you need Camp, Sport, or Blue school forms?
Forms will be available for pick up on the third business day after drop off. There is a $10.00 fee per form, payable at the time of pick up. As always, we will provide a CT State Blue Form at the time of your child’s physical FREE OF CHARGE, there is a $10 fee if additional copies are needed. Thank you for your anticipated cooperation in this matter.
*effective 4/02/2019