Physicians for Women > Policies > Fees

Accepted Methods of Payment

We collect your co-pay at the time of checkout. If you have questions specific to your insurance, co-payment or fees for services rendered, our office assistants will be able to help you. To make payment easy for you, we accept cash, checks, money orders, MasterCard and VISA. There is a $20 fee for all returned checks.

Forms

At our practice, there is a $15 fee, per request, for the completion of forms and the production of any letters you may need. The forms we charge for are those used for purposes other than the forms used to submit charges for services rendered. This fee is due prior to the release of the form or letter. Forms we require payment on include, but are not limited to:

• School Physical Forms
• Workers Compensation Forms
• Disability Placard Parking Forms
• Explication of Medical Necessity