13220 Rosedale Hill Avenue, Huntersville, North Carolina 28078, United States
Disability, FMLA & Other Forms
As of June 1, 2024, our office will adhere to the following guidelines in regards to disability, FMLA and other forms completion requests:
Anxiety, Depression, Emotional Support and Service Animal, or other mental health related disability or FMLA forms are required to be remitted to your Psychologist or Psychiatrist for completion.
A separate appointment is required for any disability, FMLA, or other forms request; please note, this appointment will only cover your forms request. To allow proper time to review your forms, no other items or concerns are to be addressed during this appointment.
There is a $50.00 charge for all forms completion, payable to our office at point of service. This out-of-pocket fee will be incurred by the patient each time forms are presented for completion and are not covered by insurance. In addition, any outstanding balances on your account must be remitted in full, prior to your completed forms being returned to you.
Patients must complete any portion indicated for patient use, prior to the appointment, or your provider completing their portion of the forms. Patients are not to attempt to complete any portions of the form which are indicated for provider use; any forms presented as such will be denied.
Our office reserves the right to deny the completion of any forms which we deem as not being medically necessary. Should your provider agree to the medical necessity of your request, our office requires 7-days to complete any such forms. You will be contacted to pick up your completed forms, once available.