I agree to an administrative fee being charged. I understand this fee covers costs for items and services that may not be associated with medical services and are not reimbursed nor covered by my health insurance plan.
The cost of the annual administrative fee will be calculated using the age of the youngest child in the family as the “base” fee. Each additional child, regardless of age will be charged an additional $200.00 fee. To prevent the fee from becoming excessive we have put a cap of $1,000.00 per family.
For new families only: The admin fee will be prorated on a quarterly basis for the 1st year if you join the practice after April 1st.