Chapel Hill Pediatrics Forms Policy
 
  It is the policy of Chapel Hill Pediatrics and Adolescents to complete forms within 5 business days in order to ensure accurate completion, whenever possible by patient’s regular doctor.

Chapel Hill Pediatrics will complete forms for patients who have had a complete physical exam/well child check within the last 12 months.

Families may request that a general form and immunization record be completed at time of annual physical.  This can be kept by family and used for many camp and other activities.  (Note: some organizations will require that patients have their specific physical form completed.)

There is no charge for forms completed for daycare attendance, school attendance or school athletics completed in 5 business days or at the time of the physical exam.

There is a $10 charge for all camp forms completed in 5 business days or at the time of physical exam.

Families can request that forms be completed sooner than 5 business days.  Chapel Hill Pediatrics will attempt to accommodate these requests.  There is a $30 charge for ALL dropped-off forms that need to be completed in less than 5 business days.

If Chapel Hill Pediatrics is unable to complete forms within time outlined by this policy, there is no charge to the patient.



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