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ADHD Wellness Center PLLC

Prescription Refill (or transfer) for ONE controlled substance medication prescription

$10.00
PLEASE READ!!!! Regarding stimulant shortages: https://acrobat.adobe.com/link/track?uri=urn:aaid:scds:US:d1d8e9e5-1dff-4b82-a486-214a32cf25df (cut & paste into browser)

EXISTING PATIENTS ONLY. The cost for ONE prescription refill OR transfer. DO NOT PAY UNLESS YOU AGREE WITH THE FOLLOWING:

1) Quantity authorized is contingent on what is allowed within a 30-day period, according to patient's individual treatment plan, office policies and government law.

2) Cost of refill (or transfer) is the same regardless of quantity authorized. If your prescription is written for LESS than 30 days supply, you will be notified by email.

3) IN ORDER TO RECEIVE REFILL/TRANSFER, THE PATIENT MUST BE IN ACCORDANCE WITH THEIR APPOINTMENTS, as determined by Dr. Brown. If an appointment is needed before the refill is given, you will be notified by email.

4) NO refunds will be given; if there is an error, payment will be saved as a "credit" to the patient's account.

5) Please allow at least 3 business days for your refill/transfer request to be fulfilled.

6) Indicate the medication's name, dose in the comments section, before submitting payment. THE PRESCRIPTION WILL BE SENT TO THE CURRENT PHARMACY WE HAVE ON FILE, UNLESS PHARMACY IS OUT OF STOCK.

7) REFILLS/TRANSFERS RECEIVED AFTER 12 NOON WILL BE ADDRESSED THE NEXT BUSINESS DAY. REFILLS/TRANSFERS WILL NOT BE HONORED ON RECOGNIZED HOLIDAYS AND/OR WHEN THE CENTER IS CLOSED.

8) If the name or dose of your medication was changed during your most recent appointment, you will require to complete a re-evaluation appointment before you can receive additional refills.

Prescription Refill (or transfer) for TWO controlled substance medication prescriptions

$20.00
PLEASE READ!!!! Regarding stimulant shortages: https://acrobat.adobe.com/link/track?uri=urn:aaid:scds:US:d1d8e9e5-1dff-4b82-a486-214a32cf25df (cut & paste into browser)

EXISTING PATIENTS ONLY. The cost for TWO prescription refills OR transfers. DO NOT PAY UNLESS YOU AGREE WITH THE FOLLOWING:

1) Quantity authorized is contingent on what is allowed within a 30-day period, according to patient's individual treatment plan, office policies and government law.

2) Cost of refill (or transfer) is the same regardless of quantity authorized. If your prescription is written for LESS than 30 days supply, you will be notified by email.

3) IN ORDER TO RECEIVE REFILL/TRANSFER, THE PATIENT MUST BE IN ACCORDANCE WITH THEIR APPOINTMENTS, as determined by Dr. Brown. If an appointment is needed before the refill is given, you will be notified by email.

4) NO refunds will be given; if there is an error, payment will be saved as a "credit" to the patient's account.

5) Please allow at least 3 business days for your refill/transfer request to be fulfilled.

6) Indicate the medication's name, dose in the comments section, before submitting payment. THE PRESCRIPTION WILL BE SENT TO THE CURRENT PHARMACY WE HAVE ON FILE, UNLESS PHARMACY IS OUT OF STOCK.

7) REFILLS/TRANSFERS RECEIVED AFTER 12 NOON WILL BE ADDRESSED THE NEXT BUSINESS DAY. REFILLS/TRANSFERS WILL NOT BE HONORED ON RECOGNIZED HOLIDAYS AND/OR WHEN THE CENTER IS CLOSED.

8) 8) If the name or dose of your medication was changed during your most recent appointment, you will require to complete a re-evaluation appointment before you can receive additional refills.

Physician letter service fee for Elite/Professional Athletes

$50.00

Referral Letter For Psychological Testing (includes testing for Intellectual Disabilities, Autism Spectrum Disorder, Learning Disabilities, Sleep Disorders and any Cognitive Conditions

$50.00
Please allow at least 3 business days for your letter to be sent to your email address.

Diagnostic and/or Treatment Physician Letter; Authorization letter to administer medication by a school nurse

$35.00
Please allow at least 3 business days for your letter to be sent to your email address.

Educational 504 Accommodations Letter (Composed by Dr. Brown)

$40.00
Please allow at least 3 business days for your letter to be sent to your email address.

Service Fee to Complete Pre-Written School or Exam Accommodations Form and Pharmaceutical or Insurance Company Forms

$25.00
This service includes ALL PRE-WRITTEN forms received from any educational entity, pharmaceutical or insurance company requested for Dr. Brown to complete.

Please allow at least 3 business days for your form to be sent to the requested individual or entity.

For physician letters, choose "Educational 504 Accommodations Letter-composed by Dr. Brown"

ADHD Vanderbilt & SNAP Rating Scales (Scoring & processing fee)

$40.00
Available for children and adolescents only.
Please allow at least 24 hours for these documents to be sent to your email address.

Medical Record Processing Fee (up to the first 20 pages)

$25.00
This is the physician report and processing fee cost for the transmission of the first 20 pages of the requested medical record. Additional pages costs $0.50 per page and can be purchased under a separate product heading. Please obtain the confirmed number of pages to be prepared before paying for this service.

Your request will be processed and fulfilled within 30 working days. We will fax the record to the identified individual/entity you provide on the authorization form.

Medical Record Procsssing Fee (for pages 21+)

$0.50
This is the physician report and processing fee cost for the transmission of the additional pages of the requested medical record. Additional pages costs $0.50 per page and are purchased under this product heading. Please obtain the confirmed number of pages to be prepared before paying for this service.

Your request will be processed and fulfilled within 30 working days. We will fax the record to the identified individual/entity you provide on the authorization form.