Med Authorization Forms 2014 – PDF
Why am I getting a copay on a physical?
Effective 7/27/15, Doctors’ Pediatric will be charging $5.00 for any CT State Blue Form requested at times other than at your child’s physical appointment. As always, we are happy to provide a CT State Blue Form at the time of your child’s physical FREE OF CHARGE. Thank you for your anticpated cooperation in this matter.