The following 3 forms are identified as a “SCHOOL FORM”.
- Form 3231 Immunization (includes all college immunization forms)
- Form 3300 Hearing/Vision/Dental
- Sport/Camp Physical Form
(PARENT MUST COMPLETE HISTORY QUESTIONS & SIGN. ANY
"YES" QUESTIONS MUST BE EXPLAINED.)
Policy: Form 3231 is provided at no charge when a patient is receiving a vaccine.
Policy: Form 3300 is provided at no charge a Hearing Screen and / or Vision Screen is performed for the patient.
Policy: Sport/Camp Physical Forms are completed for a nominal fee per form.
Policy: Existing patients may request additional copies of Form 3231 and Form 3300 for a nominal fee.
Policy: We do not provide Form 3231 and Form 3300 to Non-patients.
Policy: The processing fee is collected at the time the Form is requested.
Policy: The processing fee for each individual School Form is $5.00 CASH per Form; $6.00 if paid by credit, debit or check.
Policy: Sports/Camp Physical Forms are $5.00 cash per form; $6.00 if paid by credit, debit or check.
Policy: Processing fees are collected at the time the order is placed.
Policy: Orders are processed in the order we receive each request. We require 5 to 7 business days for processing.
Policy: INCOMPLETE ORDERS WILL NOT BE PROCESSED.
Policy: A valid phone number must be listed on the Form Request. A staff member will call once the Form is completed.