Most Commonly Requested
Uninsured/ Non-covered Services Details
If you would like to pre-pay for certian services, you can click on the hyperlinked price and it will take you to our online payment form.
Office Visits
Injections and Immunizations
Extra Services
Services required outside of or in addition to a normal office visit
Notary Services
Simple Form
Driver's Parking Permit Form
Sports Physical Form w/ annual health exam
Moderately Complex Form
Doctor's Narrative
Biometric Screening Form w/ annual health exam
Biometic Screening Form after* annual health exam
Complex/ FMLA Forms
Sports Physical Exam w/o annual health exam
*D.O.T. Physical costs include a urinalysis and form completion. This service can only be scheduled and performed by Dr. Kris Manlove-Simmons and Harriet Moody, PA.
**TB tests are not covered by insurance unless they are deemed 'medically necessary. They are paid for out of pocket when it is needed for work or school.
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