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
Initial New Patient
Established Patient
*D.O.T Physical
Employment Toxicology Screen
Specialty Lab Tests
Uninsured Well-Woman Exam
Uninsured Well-Man Exam
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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