Renewal Patient Form

Altadena Renewal Intake Form

Tosha N. Brown, MD

FEE DISCLOSURE

Disclaimer: If you are involved in litigation that requires a doctor’s testimony, expert or otherwise, you will incur a fee of $125 per hour for travel time and $500 per hour or fraction thereof for testimony.

Disclaimer: Any requests for medical records will incur a charge of $25. You will need to complete and sign a medical release form before we can issue your records. The fee is due and payable before records are released.

Important: The above notated fees apply to all cases regardless of whether you or the court calls for the doctor’s testimony. The fees for testimony are due and payable at the time services are rendered.