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.