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Woodbury Pediatrics

Medical Records/Physical Forms

Our Medical Records Department is available Monday through Friday.

  • Monday, Tuesday, Wednesday and Thursday 8:30 a.m. to 4:30 p.m.
  • Friday 8:30 a.m. to 3:30 p.m.

Medical Records can be reached at 856-853-0848 ext 215.


Medical Record Fees:
Medical records requests will be processed within 30 days as required by New Jersey State Law


Medical Records for Insurance company                              $1.00 per page
Medical Records for Accident/Legal                                        $1.00 per page
Transferred Out Records – 1st Set Flat Fee                         $10.00
Medical records                                                                                    $1.00 per page
Additional Archive Retrieval Fee for Records                    $25.00 per chart       
 (for Inactive or patients not seen within 3 years)


Physical Forms: All forms will be processed within 5 to 7 business days


Camp Physical Forms                                                                                               $10.00
Sports/School Physical Forms                                                                            $10.00
College Physical Forms                                                                                           $15.00
Universal Healthcare Form (Immunization Record Included)         $10.00
Immunization Records                                                                                            $5.00
Immunization Records Scanned from Hill Archive                                $10.00
Working papers                                                                                                          No Charge
Annual Medical Expense Form                                                                          No Charge
Any forms requested to be processed sooner than                               $10.00
    3 business days will have an additional charge
Other Forms:                                                                                                                 $10.00
   (Example: Adoption, Health Screen, Handicap, Family Leave, Disability)


Please note: Forms completed at the well check visit will be charged at the above rates.

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