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  All Other Forms

  $150.00
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  Disability Evaluation

  $500.00
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  Disability Form

  $150.00
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  Emotional Support

  $150.00
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  FMLA $50 for initial and each follow up request*

  $50.00
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  Initial Psychiatric Visit or Consultation

  $200.00
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  Initial Therapy Appointment

  $175.00
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  Medication Management

  $150.00
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  Psychiatry Follow up/ Return Visit

  $150.00
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  Therapy Return Visit

  $125.00