Patient orders

Simple Form : $25.00
Includes school forms, camp forms and drivers' license forms

Complex Forms: $50.00
Includes pharmacy/mail-order medication change requests, FMLA, disability forms

Letters of Medical Necessity: $25.00

Insurance Re-billing Request: $25.00
Necessitated by lack of or incorrect information supplied by the patient

Patient request to bill co-pay not paid at the time of service: $10.00

Insurance request for an extensive review by a physician: $75.00

College Transition Management: $365.00

Adult Management: $500.00

New Growth Hormone Administrative Fee: $365.00

Growth Hormone Administrative Fee - Subsequent Year: $200.00

Enter your payment amount.


Office Hours

Monday - 9am - 6pm
Tuesday - 8am - 5:30pm
Wednesday - 8am - 7:00pm
Thursday - 8am - 4:30pm
Friday - 9am - 4:30pm

Contact Us

For inquiries and appointments:

630-416-4501

front_desk@academicendocrinology.com