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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.

Watch for special posts in our Breaking News Section & at the top of this home Page for 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