NOTICE:  if you are an established & current patient , use this form to request a letter or report regarding diagnosis, recommendations, and/or accommodations, preparation can take between several hours and billed at the doctor's hourly fee.

If you need a brief summary for a diagnosis, treatment progress or medication recommendations, this may be subject to a fee depending on the time required to complete the letter.  Please allow us at least a few weeks notice for requesting any reports.