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





Contact office

Varies (click here)

Varies (click here)

Injections and Immunizations

Vitamin B12 Injection

**TB Skin Test

Testosterone Injection


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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