Medical Records/Physical Forms

Medical Records Processing

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

All medical record requests are sent to an outside company, CIOX. They will process request and bill the requestor for their services.

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

Form	Cost
Camp Physical Forms	$10.00
Sports/School Physical Forms	$10.00
College Physical Forms	$10.00
Universal Healthcare Form (Immunization Record Included)	$10.00
Immunization Records Scanned from Hill Archive
Family Leave	No Charge
Working papers	No Charge
Annual Medical Expense Form	No Charge
Other Forms: (Example: Adoption, Handicap, Disability)	No Charge

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