preloder

Form Fees

Please bring all necessary forms to your child’s well visit for completion. Completing physical forms requires a significant amount of time for our nurses and physicians. Therefore, if forms are submitted to us more than one (1) month after the physical exam date, there will be a charge per form. Forms presented at the time of the physical exam, with the exception of Family Leave (FMLA) are free.

The form fees are as follows:

Most forms, such as sports forms, school physical, & day care forms are a $10 flat fee.  Please allow three (3) business days for completion.

FMLA forms require extensive chart review & time for completion.  These are charged a $30 flat fee.  Please allow five (5) to seven (7) business days for completion.

Please be advised that these are non-billable services and payment is due as services are rendered.

**Certain forms will not incur a fee for completion.  These specifically include:  Head Start forms, WIC forms, Medication forms, Governmental agency disability forms, health assessment forms requested by a specialist, and/or forms for participation in Special Olympics, Make-a-Wish or similar activities.**

 

Mission

To provide high quality and personalized medical care to our patients in a pediatric medical home environment.

Vision

To be the community leader in delivering complete healthcare services to our pediatric and adolescent patients in a medical home environment, utilizing all appropriate & available medical and social services.

Our Locations & Hours

Offices open at 8 a.m., Monday through Saturday.
Patients are scheduled by appointment.

SVPAM observes the following holidays and will be closed on:  New Year's Day, Memorial Day, Fourth of July, Labor Day, Thanksgiving and the day after Thanksgiving, Christmas Day.  We typically close early the day before each holiday.  Watch for special posts in our Breaking News Section & at the top of this home Page for those holiday hours adjustments.

See the "About Us" tab for information on our walk-in hours for sick patients

Rochester

300 Brighton Avenue
Rochester, PA 15074
Tel: 724-774-7110
Fax: 724-774-7394

Sewickley

701 Broad Street, Suite 422
Sewickley, PA 15143
Tel: 412-741-8700
Fax: 412-741-3710

Wexford

119 VIP Drive
Wexford, PA 15090
Tel: 724-935-6644
Fax: 724-935-9644

Billing Office

119 VIP Drive
Wexford, PA 15090
Tel: 724-935-2610
Fax: 724-935-0331

Rochester

300 Brighton Avenue
Rochester, PA 15074
Tel: 724-774-7110
Fax: 724-774-7394

Sewickley

701 Broad Street, Suite 422
Sewickley, PA 15143
Tel: 412-741-8700
Fax: 412-741-3710

Wexford

119 VIP Drive
Wexford, PA 15090
Tel: 724-935-6644
Fax: 724-935-9644