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 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.

Effective 7/1/12, the form fees are as follows:

Work Permits $5.00

Family Leave (FMLA)  $25.00

All Other  $10.00

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

Last Updated on Thursday, 06 October 2016 19:25
 

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Our Locations & Hours

Offices open at 8 a.m.,
Mon. through Sat.
Patients are scheduled by appt.

 

Walk-In Hours for SIMPLE, sick visits:

 Sewickley/Wexford/Rochester

Mon-Fri 8:30-10am

Mon-Fri 2:30-4:30 PM

(See Breaking News tab for detailed information)

 


Rochester

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

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Sewickley

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

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Wexford

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

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