DR. MANNY GARCIA
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Fees/Pricing and Forms

  • Request forms by email Email:   mannyg911@outlook.com

  • Initial Evaluation (50 mins) - $ 440.  (Forms - Init Eval, Policy & Charges, CC auth)
    • INIT EVAL
      https://drive.google.com/file/d/1Kp3IXDfiFUyOm6Su0QKrHYzaQLWHPM_j/view?usp=sharing

      POLICY & CHARGES
      https://drive.google.com/file/d/1RJbxslyXcO5QkTlEn-YCk3kmf9iRUxmM/view?usp=sharing

      CC AUTH/UPDATE
      https://drive.google.com/file/d/13eNzJPdNsyabyQk1RTM6d07E01cKe44p/view?usp=sharing

  • Medication Management (20 mins) - $220. (Forms - Follow-up visit, CC updates)  
    • MED UPDATE FORM                                                      https://drive.google.com/file/d/16wiCXIKhqgRhjTSoU9VfJpfdqj77qTa3/view?usp=sharing
    • CC AUTH/UPDATE
      https://drive.google.com/file/d/13eNzJPdNsyabyQk1RTM6d07E01cKe44p/view?usp=sharing

  • Written or E-RX Med Refill Requests - $ 20.
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Additional Services and Fees available per request. 

HSA, Credit /Debit Card, or Cash Payments Only! - due same day of service. Health Insurance Plans NOT ACCEPTED​.
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