Med Authorization Forms 2014 – PDF
Why am I getting a copay on a physical?
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. If they are needed sooner, the fee will be $15.00 per form. As always, we will provide a CT State Blue Form at the time of your child’s physical FREE OF CHARGE. Thank you for your anticipated cooperation in this matter.
*effective 4/02/2019