
Forms and Certifications

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Forms, Certifications and Paperwork
Our providers can complete many medical forms and certifications often required throughout a little one’s childhood. Some of our providers can also complete certain forms for parents, when appropriate. Provider discretion applies *
ESTABLISHED PATIENTS
$0 Fee
Completion of standard form(s) for an established patient, who has completed a Bluebird Pediatrics wellness visit within the past 3 months (if under 12 months of age), 6 months (if between 12 and 24 months of age) and 12 months (if over 24 months of age).
$50 Fee
Completion of personalized/complex form(s) and letters for an established patient, who has completed a Bluebird Pediatrics wellness visit within the past 3 months (if under 12 months of age), 6 months (if between 12 and 24 months of age) and 12 months (if over 24 months of age).
$50-$100 Fee
Completion of standard form(s) and/or personalized/complex form(s) and letters for an established patient, who has not completed a Bluebird Pediatrics wellness visit within the past 3 months (if under 12 months of age), 6 months (if between 12 and 24 months of age) and 12 months (if over 24 months of age).
NEW PATIENTS
$0 Fee
Completion of standard form(s) for a new patient, when paired with a new-patient office visit, house call or virtual visit
$50 Fee
Completion of personalized/complex form(s) and letters for a new patient, when paired witha new-patient office visit, house call or virtual visit.
* When scheduling, please confirm with our office that the forms/certifications you desire are a service our clinic provides. Provider and medical discretion apply.